DR. KEVIN J SJODAHL (NPI# 1396991287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396991287 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J SJODAHL |
| Credential | O.D. |
| Practice Address |
6155 Stoneridge Dr Suite 100 Pleasanton CA 94588-3204 |
| Practice Telephone | 9254632150 |
| Practice Fax Number | 9254631186 |
| Mailing Telephone | 9254632150 |
| Mailing Fax Number | 9254631186 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 13618 | CA | Eye and Vision Services Providers |
| Street Address |
6155 STONERIDGE DR SUITE 100 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058441 | Minh Ngoc O Dang | Specialist | 6155 Stoneridge Dr, 150, Pleasanton, CA 94588-3204 | 2006-01-18 |
| 1346580503 | Amita Saggi | Physician Assistant | 6155 Stoneridge Dr, Pleasanton, CA 94588-3204 | 2013-02-26 |
| 1154586543 | Minh Dang M.d. Inc. | Dermatology | 6155 Stoneridge Dr, 150, Pleasanton, CA 94588-3204 | 2008-07-24 |
| 1851350698 | Eduardo Lin | Physical Medicine & Rehabilitation | 6155 Stoneridge Dr, Ste 101, Pleasanton, CA 94588-3365 | 2006-03-21 |
| 1750351268 | Amy Liu Lynn Longacre | Optometrist | 6155 Stoneridge Dr, Suite 100, Pleasanton, CA 94588-3204 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871052340 | Maria Tarango Williams | Optometrist | 2277 Via Espada, Pleasanton, CA 94566-5837 | 2019-03-14 |
| 1932692167 | Rl Optometry Inc | Optometrist | 2709 Stoneridge Dr Ste 112, Pleasanton, CA 94588-8358 | 2018-06-12 |
| 1487078267 | Helen Cheng Od A Optometry Corporation | Optometrist | 4299 Rosewood Dr, Unit 105, Pleasanton, CA 94588-3001 | 2014-02-13 |
| 1003196049 | Christopher Jeffrey Fong | Optometrist | 1104a Stoneridge Mall Rd, Pleasanton, CA 94588-3219 | 2011-08-22 |
| 1306078704 | Radbert Chin | Optometrist | 63 W Angela St, Pleasanton, CA 94566-7328 | 2009-08-18 |
| 1295967206 | Helen Cheng | Optometrist | 4299 Rosewood Dr Unit 105, Pleasanton, CA 94588-3001 | 2009-08-10 |
| 1295998060 | Stephen James Page | Optometrist | 1113 Hopkins Way, Pleasanton, CA 94566-7815 | 2008-07-02 |
| 1457577876 | Drs. Liu & Longacre, Inc. | Optometrist | 6155 Stoneridge Drive, Suite100, Pleasanton, CA 94588-3462 | 2007-04-17 |
| 1790801439 | Doris Hwoi Shan Wong | Optometrist | 5580 Springdale Ave Ste E, Pleasanton, CA 94588-3707 | 2007-03-22 |
| 1841321783 | Chester Lee | Optometrist | 5580 Springdale Avenue, Suite E, Pleasanton, CA 94588 | 2007-03-09 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.