Individual
DR. CRISTA MARIE CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4860 Y ST STE 2400, SACRAMENTO, CA 95817-2307
(916) 734-6072
(916) 734-6197
Mailing address
4860 Y ST STE 2400, SACRAMENTO, CA 95817-2307
(916) 734-6072
(916) 734-6197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11545 T
CA
152W00000X
Optometrist
1426
AZ
152W00000X
Optometrist
2296
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741224
—
AZ
01
—
AZ0905460
BCBS
AZ
Enumeration date
08/18/2006
Last updated
07/09/2007
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