Organization
EL DORADO HILLS EYECARE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETTY YOSHIKO KINOSHITA O.D. (PARTNER)
(916) 939-6631
Entity
Organization
Contact information
Practice address
899 EMBARCADERO DR, STE 3, EL DORADO HILLS, CA 95762-4094
(916) 939-6631
Mailing address
899 EMBARCADERO DR, STE 3, EL DORADO HILLS, CA 95762-4094
(916) 939-6631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FNP 2831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4508670001
MEDICARE SUPPLIER
CA
Enumeration date
01/17/2007
Last updated
08/22/2020
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