Individual
DR. JEREMY ROSS SHUMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
361 3RD ST STE C, SAN RAFAEL, CA 94901-3580
(415) 459-2020
(415) 459-2021
Mailing address
361 3RD ST STE C, SAN RAFAEL, CA 94901-3580
(415) 459-2020
(415) 459-2020
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
13336T
CA
152WP0200X
Pediatric Optometrist
13336T
CA
152WS0006X
Sports Vision Optometrist
13336T
CA
152WV0400X
Vision Therapy Optometrist
13336T
CA
Other
Enumeration date
07/21/2007
Last updated
06/17/2021
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