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Organization
JOHN T LINDQUIST O.D. A PROFESSIONAL CORPORATION
Active
Organization
JOHN T LINDQUIST O.D. A PROFESSIONAL CORPORATION
Active
Other names
Stockdale Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS LINDQUIST O.D. (PRESIDENT/OWNER)
(661) 831-8952
Entity
Organization
Contact information
Practice address
3869 STOCKDALE HWY, BAKERSFIELD, CA 93309-2188
(661) 399-1832
(661) 831-5042
Mailing address
3869 STOCKDALE HWY, BAKERSFIELD, CA 93309-2188
(661) 399-1832
(661) 831-5042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5732T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0310270001
MEDICARE ID- NORIDIAN (DME) PTAN
CA
Enumeration date
09/27/2006
Last updated
08/29/2011
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