Individual
DR. GREGG J BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1104 PEAR TREE LN, NAPA, CA 94558-6446
(707) 252-5380
(707) 252-5384
Mailing address
1104 PEAR TREE LN, NAPA, CA 94558-6446
(707) 252-5380
(707) 252-5384
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089485
HEALTHNET
CA
01
—
2560
MES
CA
05
—
SD0061650
—
CA
01
—
ZZZ543922
BLUESHIELD
CA
Enumeration date
01/24/2006
Last updated
09/17/2009
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