Michael W Ottati, Jr., O.d. INC

NPI #1164406302 in Antioch, California

Provider Information

NPI Number: 1164406302
Entity Type: Organization
Organization Name: Michael W Ottati, Jr., O.d. INC
Primary Specialty: Optometrist
Enumeration Date: Dec 1, 2005
Last Updated: Mar 4, 2008

Practice Location

Address: 3700 SUNSET LN
Address 2: SUITE 4
City: Antioch
State: California
ZIP Code: 94509-6199
Phone: (925) 757-0450

Authorized Official

Name: DR. MICHAEL WILLIAM OTTATI JR., OD
Title: PRESIDENT
Phone: (925) 757-0450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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