person
Ford Scott Takaichi, ABO
Optician in Capitola, California
NPI 1093055238

Ford Scott Takaichi is a Optician based in Capitola, CA and is specialized in Optician. Ford Scott Takaichi practices in Capitola, CA and has the professional credentials of ABO. The NPI Number for Ford Scott Takaichi is 1093055238 and holds a License No. 183993 (California).

The current practice location address for Ford Scott Takaichi is 3555 Clares St, Capitola, CA and can be reached out via phone at 831-477-4900 and via fax at 831-477-4909.

Location: 3555 Clares St, Capitola, CA, 95010-2555
person
Provider Profile Details
NPI Number
1093055238
Provider Name
Ford Scott Takaichi
Credential
ABO
Provider Entity Type
Individual
Gender
Male
Address
3555 Clares St, Capitola, CA, 95010-2555
Phone Number
831-477-4900
Fax Number
831-477-4909
Provider Enumeration Date
02/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3555 Clares St
City
State
Zip
95010-2555
Phone Number
831-477-4900
Fax Number
831-477-4909
person
Provider Business Mailing Address Details
Address
3555 Clares St
City
State
Zip
95010-2555
Phone Number
831-477-4900
Fax Number
831-477-4909
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
183993 (California)
Definition
Definition to come...
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