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NPI Code Detail

MEDICARE: GENEVIEVE KIM CORRIGAN OD INC

MEDICARE: GENEVIEVE KIM CORRIGAN OD INC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1861959280
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENEVIEVE KIM CORRIGAN OD INC
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 : 916-933-5335
Fax Number : 916-933-9168
Authorized Official
Title or Position : PRESIDENT/ OPTOMETRIST
Name : GENEVIEVE KIM CORRIGAN
Credential : OD
Telephone Number : 916-933-5535
Provider Enumeration Date : 02/21/2019
Last Update Date : 10/05/2021

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Directions to “GENEVIEVE KIM CORRIGAN OD INC ” Practice Location

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