Provider Demographics
NPI:1679684047
Name:RAMDE, JABINA (OD)
Entity Type:Individual
Prefix:DR
First Name:JABINA
Middle Name:
Last Name:RAMDE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 STATE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-2813
Mailing Address - Country:US
Mailing Address - Phone:650-948-6910
Mailing Address - Fax:650-948-8645
Practice Address - Street 1:286 STATE ST
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-2813
Practice Address - Country:US
Practice Address - Phone:650-948-6910
Practice Address - Fax:650-948-8645
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10635152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA10635OtherOPTOMETRY LICENSE
CA10635OtherOPTOMETRY LICENSE