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Dr. Shipley & Associates

Optometrist in Santa Rosa, CA. Organization (NPI-2).

NPI number1053781427
StatusActive
Last updated in NPPESSep 29, 2015

Details

NPI
1053781427
Entity type
Organization (NPI-2)
Legal business name
Dr. Shipley & Associates
Organization subpart
No
Enumeration date
Sep 29, 2015
Last updated
Sep 29, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

1430 Guerneville Rd
Santa Rosa, CA 95403-7230

Phone 707-525-9920 · Fax 707-525-0844

Mailing address

1430 Guerneville Rd
Santa Rosa, CA 95403-7230

Phone 707-525-9920 · Fax 707-525-0844

Authorized official

Les Shipley
Owner
7075259920

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