Sofia Bernabe
Individual provider Active NPI Optometrist · Carson, CA
NPI 1811421985 · NPPES record last updated Apr 16, 2017
Key facts
- NPI
- 1811421985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 33348 (CA)
- Practice address
- 20700 Avalon Blvd Ste 343
Carson, CA 90746-3716 - Phone
- (310) 532-2622
- NPI assigned
- Apr 16, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William K. Shiomi, O.D., Inc | Optometrist | Past |
Accepting new patients |
| Alina Ho OD a Professional Corp | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33348 | CA | Yes |
Addresses
Primary practice location
20700 Avalon Blvd Ste 343
Carson, CA 90746-3716
Mailing address
20700 Avalon Blvd Ste 343
Carson, CA 90746-3716
Phone (310) 532-2622
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.