Organization
SAC KIDS EYES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SATTERFIELD M.D. (CEO/ MD)
(916) 737-3456
Entity
Organization
Contact information
Practice address
83 SCRIPPS DR, STE 220, SACRAMENTO, CA 95825-6383
(916) 737-3456
Mailing address
83 SCRIPPS DR, STE220, SACRAMENTO, CA 95825-6319
(916) 737-3456
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G63403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G634030
MEDICARE PTAN
CA
05
—
00G634030
—
CA
Enumeration date
04/20/2015
Last updated
04/20/2015
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