Wayne Halstrom Optometry, Inc.

NPI #1881029577 in Newark, California

Provider Information

NPI Number: 1881029577
Entity Type: Organization
Organization Name: Wayne Halstrom Optometry, Inc.
Primary Specialty: Optometrist
Enumeration Date: Sep 12, 2013
Last Updated: Sep 12, 2013

Practice Location

Address: 1123 NEWPARK MALL
City: Newark
State: California
ZIP Code: 94560-5246
Phone: (510) 791-2020

Authorized Official

Name: DR. WAYNE HALSTROM, OD
Title: PRESIDENT
Phone: (510) 791-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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