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Organization
S & R VENTURES INC
Active
Organization
S & R VENTURES INC
Active
Other names
Stephen J Ingman OD
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JOHN INGMAN OD (PRESIDENT OPTOMETRIST)
(530) 823-5411
Entity
Organization
Contact information
Practice address
11879 KEMPER RD, STE 6, AUBURN, CA 95603-9021
(530) 823-5411
(530) 823-5380
Mailing address
11879 KEMPER RD, STE 6, AUBURN, CA 95603-9021
(530) 823-5411
(530) 823-5380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6466T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2820714
—
CA
01
—
P00742598
RAILROAD MEDICARE PART B
CA
Enumeration date
06/19/2006
Last updated
04/27/2011
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