| NPI | 1669716197 |
|---|---|
| Doing Business As | STEPHEN PAGE O.D. |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JAMES PAGE Managing O PT Ometrist 925-577-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WP0200X Optometrist Pediatrics | |
| 152WS0006X Optometrist Sports Vision | |
| 152WX0102X Optometrist Occupational Vision | |
| 261QH0100X Clinic/Center Health Service | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |