Provider Demographics
NPI:1639832801
Name:GARCHA, AAMUN (OD)
Entity type:Individual
Prefix:DR
First Name:AAMUN
Middle Name:
Last Name:GARCHA
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 1:915 INTERLAKEN DR
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95242-9173
Mailing Address - Country:US
Mailing Address - Phone:209-327-3577
Mailing Address - Fax:
Practice Address - Street 1:1617 SAINT MARKS PLZ STE D
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6423
Practice Address - Country:US
Practice Address - Phone:209-478-1797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35042TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist