NPI 1194796078

Dean a Ezaki, OD

Practitioner Optometrist Sonoma, CA

Practice location

Address: 776 West Napa Street, Sonoma, CA 95476
Phone: (707) 938-8116
Fax: (707) 938-8143

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 55207 (CA)

Other Optometrist providers in California →

Eyewear Supplier

Suppliers Taxonomy 332H00000X Licence 5520T (CA)

Other Eyewear Supplier providers in California →

Registry record

NPI: 1194796078
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2006
Record last updated: 6 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.