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NPI Code Detail

MEDICARE: DR. GENEVIEVE KIM CORRIGAN O.D.

MEDICARE:  DR. GENEVIEVE KIM CORRIGAN  O.D.
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
1152W00000XOptometrist09848TPLCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113457OTHERCAMES
249855OTHERCAHEALTH NET PPO
349855OTHERCASAFEGUARD PPO
445339OTHERCAHEALTH NET HMO
545339OTHERCASAFEGUARD HMO
67579166OTHERCAAETNA EPO,PPO,MC
7116335OTHERCAECPA
80691264OTHERCAAETNA HMO

General Provider Information

NPI Number : 1295738847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GENEVIEVE KIM CORRIGAN O.D.
Provider Business Mailing Address
First Line : 2209 FRANCISCO DR STE 150
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-3805
Country : US
Telephone Number : 916-933-5535
Fax Number : 916-933-9168
Provider Business Practice Location Address
First Line : 2209 FRANCISCO DR STE 150
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-3805
Country : US
Telephone Number : 916-933-5535
Fax Number : 916-933-9168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 01/23/2020

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