MEDICARE: A. SAUL OD & DAVID J. BARRETO OD A PROFESSIONAL CORPORATION

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	3537	CA

General Provider Information

NPI Number	:	1912107988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A. SAUL OD & DAVID J. BARRETO OD A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1101 S WINCHESTER BLVD STE E156
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-3903
Country	:	US
Telephone Number	:	408-244-8700
Fax Number	:	408-244-9560

Provider Business Practice Location Address
First Line	:	1101 S WINCHESTER BLVD STE E156
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-3903
Country	:	US
Telephone Number	:	408-244-8700
Fax Number	:	408-244-9560

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. A. SAUL LEVINE
Credential	:	O.D.
Telephone Number	:	408-244-8700

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	12/27/2007

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