Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FX1100X | Ophthalmic | ||
N | 156FX1800X | Optician | ||
Y | 207W00000X | Ophthalmologist | G50991 | CA |
NPI | 1407891393 |
---|---|
Provider Name | Miss Carole Ann Casteen |
First Address | Bakersfield, CA 93390-2650 |
Second Address | Bakersfield, CA 93312-6337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 22/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G509910 | (05) | CA |
180007011 | MEDICARE RAILROAD (01) | CA |
F09988 | (02) | CA |
ZZZ40586Z | BLUE SHIELD (01) | CA |