Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIDISTI GHEBRE MARIAM, OD
ActiveKIDISTI GHEBRE MARIAM, OD is a Optometrist healthcare provider located in ANTIOCH, California. NPI 1477508331 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ANTIOCH, CA
Registration Details
- NPI Number
- 1477508331
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2006 (20.049570992307 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11703T (CA)
Practice Information
- Address
-
2201 VERNE ROBERTS CIRANTIOCH, CA, 945097911Browse CA providers · Browse ZIP 94509
- Phone
- 9257571183
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ANTIOCH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PAMELA L. PUCCINELLI | O.D. | 1285602904 |
| DR. GARRET BRUCE LOUIE | O.D. | 1023173044 |
| DR. SHIRLEY ONG | O.D. | 1861540205 |
| DR. JENIFER KENI KEIKO ISHIZAKI CHUNG | O.D. | 1821140534 |
| MARY LEONG | O.D. | 1003968249 |
| DR. GREGORY MARK SILVA | OD | 1285786012 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.