Individual
JUDY CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
360 E LAS TUNAS DR STE 203, SAN GABRIEL, CA 91776-5514
(888) 988-4936
Mailing address
16816 CLARK AVE, BELLFLOWER, CA 90706-5702
(562) 925-6591
(562) 867-8719
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
15060TLG
CA
152WV0400X
Vision Therapy Optometrist
Primary
15060TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB262466
MEDICARE PTAN SO CAL
CA
Enumeration date
07/31/2014
Last updated
05/16/2019
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