Individual
EUGENE L WAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1689 ARDEN WAY, SACRAMENTO, CA 95815-4030
(916) 648-0222
Mailing address
1620 SARATOGA AVE # P-301, WESTGATE S C, SAN JOSE, CA 95129-5113
(408) 371-5180
(408) 371-5154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6829
CA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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