Individual
DR. GREG WAYNE KAISER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1352 LOS OSOS VALLEY RD, SUITE A, LOS OSOS, CA 93402
(805) 528-0606
(805) 528-0608
Mailing address
1352 LOS OSOS VALLEY RD, SUITE A, LOS OSOS, CA 93402
(805) 528-0606
(805) 528-0608
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6471T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0064711
MEDICAL
CA
Enumeration date
01/30/2006
Last updated
07/08/2007
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