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NPI Code Detail

MEDICARE: DR. ANTHONY F SORIA OD

MEDICARE: DR. ANTHONY F SORIA OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist9925TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346219755
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY F SORIA OD
Provider Business Mailing Address
First Line : 640 HEALDSBURG AVE
Second Line :
City : HEALDSBURG
State : CA
Zip : 95448-3609
Country : US
Telephone Number : 707-433-5020
Fax Number : 707-433-2350
Provider Business Practice Location Address
First Line : 3569 ROUND BARN CIR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number : 707-303-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 09/11/2023

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