Provider Demographics
NPI:1831613975
Name:PAULA VANG, O.D., INC.
Entity type:Organization
Organization Name:PAULA VANG, O.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:916-573-2020
Mailing Address - Street 1:6833 STOCKTON BLVD STE 440
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2374
Mailing Address - Country:US
Mailing Address - Phone:916-573-2020
Mailing Address - Fax:916-573-2255
Practice Address - Street 1:6833 STOCKTON BLVD STE 440
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2374
Practice Address - Country:US
Practice Address - Phone:916-573-2020
Practice Address - Fax:916-573-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty