MEDICARE: DR. MICHAEL STEVEN FERRETTI 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
1	152W00000X	Optometrist	7455T	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1447223730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL STEVEN FERRETTI OD

Provider Business Mailing Address
First Line	:	2162 ROBINSON ST
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-4937
Country	:	US
Telephone Number	:	530-534-8807
Fax Number	:	530-534-8811

Provider Business Practice Location Address
First Line	:	2162 ROBINSON ST
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-4937
Country	:	US
Telephone Number	:	530-534-8807
Fax Number	:	530-534-8811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	08/25/2010

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