Individual
DR. GARY KAZUMI ODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 372-1902
(925) 229-7550
Mailing address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 372-1026
(925) 229-7550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4752T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X549533
KAISER NATIONAL ID #
CA
Enumeration date
01/12/2007
Last updated
07/12/2007
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