Organization
NORTHERN CALIFORNIA CORNEA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W VASTINE MD (OWNER)
(925) 947-0888
Entity
Organization
Contact information
Practice address
122 LA CASA VIA, STE 222, WALNUT CREEK, CA 94598
(925) 947-0888
(925) 947-4385
Mailing address
122 LA CASA VIA, STE 222, WALNUT CREEK, CA 94598
(925) 947-0888
(925) 947-4385
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G17966
GA
207W00000X
Ophthalmology Physician
G39000
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103840
—
CA
05
—
GSD005430
—
CA
Enumeration date
10/24/2006
Last updated
04/10/2008
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