Provider Demographics
NPI:1114661386
Name:APARICIO, GERMAN (OD)
Entity Type:Individual
Prefix:
First Name:GERMAN
Middle Name:
Last Name:APARICIO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 FULTON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-4889
Mailing Address - Country:US
Mailing Address - Phone:916-925-2020
Mailing Address - Fax:
Practice Address - Street 1:525 FULTON AVE STE 300
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4889
Practice Address - Country:US
Practice Address - Phone:916-925-2020
Practice Address - Fax:916-925-5162
Is Sole Proprietor?:No
Enumeration Date:2022-04-25
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046011634152W00000X
CA35199152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management