Kelly Staton is a Optometrist in Cotati, California. Kelly Staton practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kelly Staton is 1548302649. The last update date is 2007-07-08.
Kelly Staton's current location address is 124 Jagle St, Cotati, California. You can contact this provider via phone number 7077926783. The mailing address for Kelly Staton is 124 Jagle St, Cotati, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Staton |
|---|---|
| Address | 124 Jagle St, Cotati, California |
| Phone Number | 7077926783 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1548302649 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 124 Jagle St |
|---|---|
| City | Cotati |
| State | California (CA) |
| Post Code | 949315375 |
| Phone Number | 7077926783 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 10012T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique 10-digit identification code issued to Kelly Staton by the Centers for Medicare & Medicaid Services?
The Kelly Staton has been assigned the NPI (National Provider Identifier) 1548302649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kelly Staton is located?
The Kelly Staton is situated at the following address: 124 Jagle St, Cotati, CA, 949315375.
What is Kelly Staton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Staton's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548302649 to Kelly Staton?
The Centers for Medicare & Medicaid Services originally issued the 1548302649 to Kelly Staton on 2007-02-13.
As of what date were the Kelly Staton's details last updated?
The information pertaining to the Kelly Staton, including its address, specialty, and other details, was most recently updated on 2007-07-08.