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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL C SHULKIN

Active Sole Proprietor

MICHAEL C SHULKIN is a Optometrist healthcare provider located in SANTA ROSA, California. NPI 1790893824 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SANTA ROSA, CA

Registration Details

NPI Number
1790893824
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2006 (19.988018343726 yrs)
Last Updated
Jul 16, 2010
Licenses
OPT7703TPA (CA)
OPT7703TPA (CA)
OPT7703TPA (CA)
OPT7703TPA (CA)
OPT7703TPA (CA)
Sole Proprietor
Yes

Practice Information

Address
1188 MONTGOMERY DR
SANTA ROSA, CA, 954054802
Browse CA providers · Browse ZIP 95405
Phone
7075423404
Fax
7075423404
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Sports Vision Optometrist
Additional Specialty
Vision Therapy Optometrist

Other Optometrist Providers in SANTA ROSA, CA

Name Credential NPI
DR. HOLLIS LOREN STAVN O.D. 1194728527
DR. IAN JAMES MIDDLETON OD 1144224791
RICHARD DAVID JONES O.D., F.A.A.O. 1295730406
DR. RONALD C HARRISON O.D. 1588653752
DR. LES ALAN SHIPLEY OD 1225011653
BRUCE P ABRAMSON O.D. 1841278124
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.