Healthcare Provider Details

I. General information

NPI: 1831444918
Provider Name (Legal Business Name): CELIA FUTCH O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3580 BLACKHAWK PLAZA CIR
DANVILLE CA
94506-4611
US

IV. Provider business mailing address

202 COMMODORE DR
RICHMOND CA
94804-7426
US

V. Phone/Fax

Practice location:
  • Phone: 925-648-9393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number011361-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number14494
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: