Individual
DR. JIRO KAMEOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6310 S US HIGHWAY 85-87, FOUNTAIN, CO 80817-1006
(719) 390-8649
Mailing address
727 BEAR PAW LN S, COLORADO SPRINGS, CO 80906-3220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-2215
CO
152WC0802X
Corneal and Contact Management Optometrist
OPT-2215
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24476323
—
CO
Enumeration date
04/17/2006
Last updated
02/25/2008
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