Daniel R. Taketa

NPI #1063649564 in Lompoc, California

Provider Information

NPI Number: 1063649564
Entity Type: Organization
Organization Name: Daniel R. Taketa
Primary Specialty: Optometrist
Enumeration Date: Jun 11, 2009
Last Updated: Jun 11, 2009

Practice Location

Address: 611 E OCEAN AVE
City: Lompoc
State: California
ZIP Code: 93436-6914
Phone: (805) 736-7010

Authorized Official

Name: DR. DANIEL TAKETA, O.D.
Title: OWNER
Phone: (805) 736-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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