Tara Mather OD

NPI 1922156827 - Optometrist - 152W00000X

NPI Details
NPI 1922156827
Gender Female
Enumeration Date 01/08/2007
Last Updated 09/23/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4647 ZION AVE
SAN DIEGO CA, 92120-2507, US
Phone (619) 528-5000
Fax
Business Location
4647 ZION AVE
SAN DIEGO CA, 92120-2507, US
Phone (619) 528-5000
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10985T
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According to our database, Tara Mather OD NPI is 1922156827, taxonomy code is 152W00000X and license number is 10985T, license state is located at California. Tara Mather OD physically located at 4647 Zion Ave, San Diego CA, 92120-2507. NPI Number Tara Mather OD has the Individual type.

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1922156827 NPI number is provided on an as is basis without warranty of any kind. 1922156827 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Mather OD are for informational purposes only.