NPI Code Details Logo

NPI 1104926393

NPI 1104926393 : CAREEN CAPUTO OD : HOLLISTER, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104926393
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CAREEN CAPUTO OD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2006
-----------------------------------------------------
    Last Update Date     |    09/19/2019
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    891 SUNSET DR 
-----------------------------------------------------
    City                 |    HOLLISTER
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95023-5601
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-637-7471
-----------------------------------------------------
    Fax                  |    831-637-7472
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1441 CONSTITUTION BLVD STE 100 
-----------------------------------------------------
    City                 |    SALINAS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93906-3136
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-424-1150
-----------------------------------------------------
    Fax                  |    831-424-1158
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    9898T
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.