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Organization

SCOTT P DALY SANTA CRUZ OPTOMETRIC

Active
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Organization

SCOTT P DALY SANTA CRUZ OPTOMETRIC

Active
Other names
APTOS OPTOMETRIC CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY DALY (BOOKKEEPER)
(831) 426-1050
Entity
Organization

Contact information

Practice address
3275 APTOS RANCHO RD, SUITE B, APTOS, CA 95003-3983
(831) 685-1050
(831) 685-1059
Mailing address
904 CEDAR ST, SANTA CRUZ, CA 95060-3802
(831) 426-1050
(831) 423-1050

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7785
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0077852
INDIVIDUAL PTAN
CA
01
—
ZZZ27600Z
PTAN
CA
Enumeration date
08/26/2008
Last updated
08/17/2017
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