Organization
FAMILY EYE ASSOCIATES
Active
Other names
Katherine M Severin, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE M SEVERIN O.D. (OWNER OPTOMETRIST)
(707) 426-2020
Entity
Organization
Contact information
Practice address
3700 HILBORN RD, STE 500, FAIRFIELD, CA 94534-7946
(707) 426-2020
Mailing address
3700 HILBORN RD, STE 500, FAIRFIELD, CA 94534-7946
(707) 426-2020
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT8122TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5666727
—
CA
Enumeration date
03/21/2007
Last updated
04/15/2011
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