Gerald T. Pittler, O.d., Inc.

NPI 1033410014 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1033410014
Enumeration Date 11/08/2010
Last Updated 01/10/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GERALD T GERALD
Position OWNER/PRESIDENT
Phone (707) 763-1423
Fax (707) 981-4582
Practice Location
855 LAKEVILLE ST
SUITE 102
PETALUMA CA, 94952-7327, US
Phone (707) 763-1423
Fax (707) 981-4582
Business Location
855 LAKEVILLE ST
SUITE 102
PETALUMA CA, 94952-7327, US
Phone (707) 763-1423
Fax (707) 981-4582
Toxanomy
Taxonomy Code 332H00000X
License State California
License Number 6321
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According to our database, Gerald T. Pittler, O.d., Inc. NPI is 1033410014, taxonomy code is 332H00000X and license number is 6321, license state is located at California. Gerald T. Pittler, O.d., Inc. physically located at 855 Lakeville St, Petaluma CA, 94952-7327. NPI Number 1033115704 has the healthcare provider type.

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1033410014 NPI number is provided on an as is basis without warranty of any kind. 1033410014 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald T. Pittler, O.d., Inc. are for informational purposes only.