Provider Demographics
NPI:1710025978
Name:BAINS, SATINDER K (OD)
Entity Type:Individual
Prefix:
First Name:SATINDER
Middle Name:K
Last Name:BAINS
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 1:1830 SIERRA GARDENS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-2942
Mailing Address - Country:US
Mailing Address - Phone:916-786-6966
Mailing Address - Fax:916-677-0261
Practice Address - Street 1:1830 SIERRA GARDENS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2942
Practice Address - Country:US
Practice Address - Phone:916-786-6966
Practice Address - Fax:916-677-0261
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT9517T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist