Doctor Name: | DR. JOHN CORZINE |
NPI Number: | 1023156965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | OPT 9875 TPL |
Business Practice Address: | 200 Minor Hall University Of California Berkeley, CA - 947202020 |
Business Phone Number: | 5106432793 |
Business Fax Number: | 5106435109 |
Mailing Address: | 200 Minor Hall, University Of California BERKELEY |
State: | CA |
Postal Code: | 947202020 |
Phone Number: | 5106432793 |
Fax Number: | 5106435109 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OPT 9875 TPL |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |