MEDICARE: DR. ASHLEY DARNELL-SAKATA, OD, OPTOMETRIC CORPORATION

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

General Provider Information

NPI Number	:	1174399968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ASHLEY DARNELL-SAKATA, OD, OPTOMETRIC CORPORATION

Provider Business Mailing Address
First Line	:	8440 BRENTWOOD BLVD STE F
Second Line	:
City	:	BRENTWOOD
State	:	CA
Zip	:	94513-1300
Country	:	US
Telephone Number	:	925-634-0303
Fax Number	:	925-634-0338

Provider Business Practice Location Address
First Line	:	8440 BRENTWOOD BLVD STE F
Second Line	:
City	:	BRENTWOOD
State	:	CA
Zip	:	94513-1300
Country	:	US
Telephone Number	:	925-634-0303
Fax Number	:	925-634-0338

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	ASHLEY DARNELL-SAKATA
Credential	:	OD
Telephone Number	:	925-634-0303

Provider Enumeration Date	:	12/01/2023
Last Update Date	:	12/01/2023

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