MEDICARE: SALADO AND SPRENKEL OPTOMETRIC PARTNERSHIP

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	:	1316624257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALADO AND SPRENKEL OPTOMETRIC PARTNERSHIP

Provider Business Mailing Address
First Line	:	11552 TELEGRAPH RD
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-3110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11552 TELEGRAPH RD
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-3110
Country	:	US
Telephone Number	:	562-868-2418
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DR. MARIA ESTHER SALADO
Credential	:	OD
Telephone Number	:	323-205-8686

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	07/31/2023

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