Individual
DR. IRENA BEKHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4762 SAINT ANDREWS DR, STOCKTON, CA 95219-1915
(209) 594-0554
Mailing address
4915 CLAREMONT AVE, STOCKTON, CA 95207-5707
(209) 956-3323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12748
CA
152W00000X
Optometrist
4104
MA
152W00000X
Optometrist
OPC3279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019950
NHP
MA
05
—
0313807
—
MA
01
—
10578
DAVIS
MA
01
—
1274
EYEMED
CA
01
—
410376
TUFTS
MA
01
—
9607387-004
CIGNA
MA
01
—
E314
HPHC
MA
01
—
W16212
BCBS
MA
Enumeration date
09/01/2006
Last updated
10/30/2012
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