Organization
DR. WAYNE OGATA O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE KANEO OGATA O.D. (PRESIDENT)
(707) 643-8891
Entity
Organization
Contact information
Practice address
4300 SONOMA BLVD, #508, VALLEJO, CA 94589-2200
(707) 643-8891
(707) 644-8649
Mailing address
4300 SONOMA BLVD, #508, VALLEJO, CA 94589-2200
(707) 643-8891
(707) 644-8649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9705T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9705T
LICENSE
CA
Enumeration date
06/15/2006
Last updated
08/06/2010
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