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NPI Code Detail

MEDICARE: ELLEN SZETO OD

MEDICARE: ELLEN SZETO 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
1152W00000XOptometrist10593TPLCA

General Provider Information

NPI Number : 1063486009
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN SZETO OD
Provider Business Mailing Address
First Line : 495 CASTRO ST
Second Line : MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC
City : MOUNTAIN VIEW
State : CA
Zip : 94041-2086
Country : US
Telephone Number : 650-967-6649
Fax Number : 650-967-0237
Provider Business Practice Location Address
First Line : 495 CASTRO ST
Second Line : MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC
City : MOUNTAIN VIEW
State : CA
Zip : 94041-2086
Country : US
Telephone Number : 650-967-6649
Fax Number : 650-967-0237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 02/06/2008

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Directions to “ ELLEN SZETO OD” Practice Location

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