Individual
ALEXANDER F. GONCALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2131 CAPITOL AVE, SUITE 107, SACRAMENTO, CA 95816-5755
(916) 446-0125
(916) 446-3586
Mailing address
2131 CAPITOL AVE, SUITE 107, SACRAMENTO, CA 95816-5755
(916) 446-0125
(916) 446-3586
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 7198 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02812
MEDICAL EYE SERVICES
CA
01
—
3954390001
NORIDIAN
CA
05
—
SD0071980
—
CA
Enumeration date
10/13/2006
Last updated
07/09/2007
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