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Individual
MICHAEL C SHULKIN
Active
Individual
MICHAEL C SHULKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7703TPA
CA
152WC0802X
Corneal and Contact Management Optometrist
OPT7703TPA
CA
152WP0200X
Pediatric Optometrist
OPT7703TPA
CA
152WS0006X
Sports Vision Optometrist
OPT7703TPA
CA
152WV0400X
Vision Therapy Optometrist
OPT7703TPA
CA
152WX0102X
Occupational Vision Optometrist
OPT7703TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0077030
—
CA
Enumeration date
08/28/2006
Last updated
07/16/2010
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