Provider Demographics
NPI:1831268903
Name:CAUCHI, CAROLINE GUERRERO (OD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:GUERRERO
Last Name:CAUCHI
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 1:8235 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-9320
Mailing Address - Country:US
Mailing Address - Phone:619-461-4913
Mailing Address - Fax:619-465-5070
Practice Address - Street 1:8235 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-9320
Practice Address - Country:US
Practice Address - Phone:619-461-4913
Practice Address - Fax:619-465-5070
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6882T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0068820Medicaid
CA0416140001Medicare NSC
CAOP6882Medicare PIN