Individual
MANSOOR SHAFQAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC, NCLEC, LDO
Contact information
Practice address
1 SHIELDS AVE, DAVIS, CA 95616-8500
(530) 752-3324
(530) 752-4252
Mailing address
907 BOURN DR SPC 24, WOODLAND, CA 95776-9304
(530) 752-3324
(530) 752-4252
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
2265
CA
156FX1800X
Optician
Primary
6053
CA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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