Kidisti Ghebre Mariam in Antioch - Optometrist
Kidisti Ghebre Mariam - NPI 1477508331
Kidisti Ghebre Mariam is a Optometrist in Antioch, California. Kidisti Ghebre Mariam practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kidisti Ghebre Mariam is 1477508331. The last update date is 2007-07-08.
Kidisti Ghebre Mariam's current location address is 2201 Verne Roberts Cir, Antioch, California. You can contact this provider via phone number 9257571183. The mailing address for Kidisti Ghebre Mariam is 2201 Verne Roberts Cir, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kidisti Ghebre Mariam |
|---|---|
| Address | 2201 Verne Roberts Cir, Antioch, California |
| Phone Number | 9257571183 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1477508331 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2201 Verne Roberts Cir |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945097911 |
| Phone Number | 9257571183 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 11703T |
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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 Kidisti Ghebre Mariam's 1477508331?
The Kidisti Ghebre Mariam's NPI (National Provider Identifier) Number is 1477508331. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kidisti Ghebre Mariam is geographically located?
The Kidisti Ghebre Mariam is physically situated at the following location: 2201 Verne Roberts Cir, Antioch, CA, 945097911.
What is Kidisti Ghebre Mariam's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kidisti Ghebre Mariam's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did Kidisti Ghebre Mariam receive its 1477508331 assignment from the Centers for Medicare & Medicaid Services?
The Kidisti Ghebre Mariam was assigned its 1477508331 on 2006-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kidisti Ghebre Mariam most recently updated?
The details pertaining to the Kidisti Ghebre Mariam, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA