Individual
DR. JAY PAUL KAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
206 SHARON WAY, ROSEVILLE, CA 95678-2332
(916) 208-0155
(916) 774-9885
Mailing address
206 SHARON WAY, ROSEVILLE, CA 95678-2332
(916) 208-0155
(916) 774-9885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT10070TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0100701
—
CA
Enumeration date
07/12/2006
Last updated
07/18/2011
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