Individual
BENJAMIN JA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
(916) 648-0222
(916) 648-0231
Mailing address
1680D E ROSEVILLE PKWY, BLDG D UNIT 110, ROSEVILLE, CA 95661-3988
(916) 797-3139
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
9014
CA
152W00000X
Optometrist
Primary
9014T
CA
Other
Enumeration date
10/03/2006
Last updated
01/03/2022
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