Provider Demographics
NPI:1780761791
Name:ALTO, JOHN SUPNET (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SUPNET
Last Name:ALTO
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Gender:M
Credentials:OD
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Mailing Address - Street 1:7300 WYNDHAM DR
Mailing Address - Street 2:EYE SERVICES - OPTOMETRY DEPARTMENT
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-4913
Mailing Address - Country:US
Mailing Address - Phone:916-525-6400
Mailing Address - Fax:916-525-6445
Practice Address - Street 1:7300 WYNDHAM DR
Practice Address - Street 2:EYE SERVICES - OPTOMETRY DEPARTMENT
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4913
Practice Address - Country:US
Practice Address - Phone:916-525-6400
Practice Address - Fax:916-525-6445
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA9849152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist