Provider Demographics
NPI:1699444265
Name:LI, KATRINA LOK TING (OD)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:LOK TING
Last Name:LI
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 1:622 ABBOTT ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4315
Mailing Address - Country:US
Mailing Address - Phone:831-771-3900
Mailing Address - Fax:831-424-7835
Practice Address - Street 1:622 ABBOTT ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4315
Practice Address - Country:US
Practice Address - Phone:831-771-3900
Practice Address - Fax:831-424-7835
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist