Provider Demographics
NPI:1144346180
Name:MUI, CECILIA (OD)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:
Last Name:MUI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 STOCKTON ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-3815
Mailing Address - Country:US
Mailing Address - Phone:415-421-6666
Mailing Address - Fax:415-777-3628
Practice Address - Street 1:1424 STOCKTON ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-3815
Practice Address - Country:US
Practice Address - Phone:415-421-6666
Practice Address - Fax:415-777-3628
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7020T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0070200Medicaid
SD0070200Medicare ID - Type Unspecified