Organization
ABC TRI-VALLEY OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHU-CHUAN WANG O.D. (OPTOMETRIST)
(925) 443-0212
Entity
Organization
Contact information
Practice address
550 N CANYONS PKWY, LIVERMORE, CA 94551-9472
(925) 443-0212
(925) 443-0215
Mailing address
550 N CANYONS PKWY, LIVERMORE, CA 94551-9472
(925) 443-0212
(925) 443-0215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11447 T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0114470
MEDICARE TYPE UNSPECIFIED
CA
Enumeration date
02/05/2013
Last updated
02/05/2013
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