Individual
DR. STEVEN G. OMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7410 GREENHAVEN DR, SUITE 140, SACRAMENTO, CA 95831-5158
(916) 421-1278
(916) 421-5055
Mailing address
7410 GREENHAVEN DR, SUITE 140, SACRAMENTO, CA 95831-5158
(916) 421-1278
(916) 421-5055
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT6310TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0063100
—
CA
Enumeration date
11/30/2006
Last updated
09/16/2014
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