Provider Demographics
NPI:1275552390
Name:DO, EMILY H (OD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:H
Last Name:DO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2114 SENTER RD
Mailing Address - Street 2:SUITE #6
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-2608
Mailing Address - Country:US
Mailing Address - Phone:408-289-1448
Mailing Address - Fax:408-289-1886
Practice Address - Street 1:2114 SENTER RD
Practice Address - Street 2:SUITE #6
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-2608
Practice Address - Country:US
Practice Address - Phone:408-289-1448
Practice Address - Fax:408-289-1886
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2012-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA8453T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT10692Medicare UPIN
CASD0084530Medicare PIN