MEDICARE: HAN AND RODRIGUEZ-BAYES OPTOMETRY GENERAL 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	:	1316728207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAN AND RODRIGUEZ-BAYES OPTOMETRY GENERAL PARTNERSHIP

Provider Business Mailing Address
First Line	:	4917 GOLDEN FOOTHILL PKWY
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9632
Country	:	US
Telephone Number	:	916-549-6728
Fax Number	:

Provider Business Practice Location Address
First Line	:	4917 GOLDEN FOOTHILL PKWY
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9632
Country	:	US
Telephone Number	:	916-941-3800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JING HAN
Credential	:	OD
Telephone Number	:	916-549-6728

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	10/09/2023

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