Mark S Ichikawa, Od
NPI #1477595007 in Sunnyvale, California
Provider Information
- NPI Number
- 1477595007
- Entity Type
- Organization
- Organization Name
- Mark S Ichikawa, Od
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Oct 19, 2007
Practice Location
- Address
- 596 E EL CAMINO REAL
- Address 2
- SUITE 2
- City
- Sunnyvale
- State
- California
- ZIP Code
- 94087-1940
- Phone
- (408) 245-6212
Authorized Official
- Name
- DR. MARK ICHIKAWA, O.D.
- Title
- SOLE PROPRIETOR
- Phone
- (408) 245-6212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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