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NPI Code Detail

MEDICARE: DR. BERYL BECHTOLD HUNT O.D.

MEDICARE:  DR. BERYL BECHTOLD HUNT  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
1152W00000XOptometrist7728TLGCA

General Provider Information

NPI Number : 1588626980
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BERYL BECHTOLD HUNT O.D.
Provider Business Mailing Address
First Line : 2620 HURLEY WAY
Second Line : SUITE A
City : SACRAMENTO
State : CA
Zip : 95864-3789
Country : US
Telephone Number : 916-453-1111
Fax Number :
Provider Business Practice Location Address
First Line : 2620 HURLEY WAY
Second Line : SUITE A
City : SACRAMENTO
State : CA
Zip : 95864-3789
Country : US
Telephone Number : 916-453-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 05/04/2017

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Directions to “ DR. BERYL BECHTOLD HUNT O.D.” Practice Location

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