Individual
DR. GREGG THOMAS OKADA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
946 MANHATTAN BEACH BLVD, MANHATTAN BEACH, CA 90266
(310) 545-4585
(310) 546-3240
Mailing address
946 MANHATTAN BEACH BLVD, MANHATTAN BEACH, CA 90266
(310) 545-4585
(310) 546-3240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8296T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8296T
STATE BOARD OPTOMETRY
CA
01
—
M00657013
THERAPEUDIC LIC #
CA
Enumeration date
03/14/2006
Last updated
07/08/2007
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