Provider Demographics
NPI:1609939560
Name:SCAIEF, ALBERT LEE (OD, MS)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:LEE
Last Name:SCAIEF
Suffix:
Gender:M
Credentials:OD, MS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1390 W H ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:OAKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95361-3570
Mailing Address - Country:US
Mailing Address - Phone:209-847-1726
Mailing Address - Fax:209-847-0235
Practice Address - Street 1:1390 W H ST
Practice Address - Street 2:SUITE E
Practice Address - City:OAKDALE
Practice Address - State:CA
Practice Address - Zip Code:95361-3570
Practice Address - Country:US
Practice Address - Phone:209-847-1726
Practice Address - Fax:209-847-0235
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5202T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0052020Medicaid
CA0467540001OtherDMERC
CA410043565OtherRAILROAD MEDICARE
CAT09904Medicare UPIN
CA0467540001OtherDMERC
CA0467540001Medicare NSC