Provider Demographics
NPI:1841280989
Name:REDMAN, DAVID MICHAEL (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:REDMAN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1039 EL MONTE AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2370
Mailing Address - Country:US
Mailing Address - Phone:650-967-0140
Mailing Address - Fax:650-967-3925
Practice Address - Street 1:117 BERNAL RD
Practice Address - Street 2:SUITE 40
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1375
Practice Address - Country:US
Practice Address - Phone:408-362-9789
Practice Address - Fax:408-362-9790
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2011-10-20
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Provider Licenses
StateLicense IDTaxonomies
CA9692T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist