Individual
HOA TAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
214 JACKSON ST, SAN JOSE, CA 95112-3201
(408) 293-3730
(408) 293-2131
Mailing address
214 JACKSON ST, SAN JOSE, CA 95112-3201
(408) 293-3730
(408) 293-2131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11317T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0022890
—
CA
Enumeration date
03/16/2006
Last updated
12/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us