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General NPI Number Information
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NPI Number | 1912894098
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Entity Type | Individual
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Provider Name | VANESSA GAMEZ-LUNA OD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 8246 LAGUNA BLVD STE 300
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City | ELK GROVE
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State | CA
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Zip | 95758-7972
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Country | US
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Telephone | 916-684-6688
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Fax |
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Provider Business Mailing Address
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Address Line | 8246 LAGUNA BLVD
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City | ELK GROVE
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State | CA
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Zip | 95758-7968
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Country | US
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Telephone | 916-684-6688
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 36040
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License Number State | CA
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