Sausalito Optometry, INC.
Optometrist in Sausalito, CA. Organization (NPI-2).
NPI number1487836631
StatusActive
Last updated in NPPESNov 29, 2007
Details
- NPI
- 1487836631
- Entity type
- Organization (NPI-2)
- Legal business name
- Sausalito Optometry, INC.
- Organization subpart
- No
- Enumeration date
- Nov 29, 2007
- Last updated
- Nov 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 12409T | CA | Yes |
Practice location
325 Pine StSausalito, CA 94965-2124
Phone 415-331-0121
Mailing address
325 Pine StSausalito, CA 94965-2124
Phone 415-331-0121
Authorized official
Maureen Lynette McCoy
Optometrist
4153310121
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