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DR. MICHAEL CARMINE CERRA O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1629264817

Individual Registrant:
DR. MICHAEL CARMINE CERRA O.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
500 NEWPARK MALL JC PENNEY OPTICAL #11020 NEWARK, CA 94560-5202 US
Tel: 510-796-6160  Fax: --

Contact information for business:
500 NEWPARK MALL JC PENNEY OPTICAL #11020 NEWARK, CA 94560-5202 US
Tel: 510-796-6160  Fax: --

Registration Information:
NPI: 1629264817
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA6629T

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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