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Organization
TERESA A MAYHEW-SUTHERLAND
Active
Organization
TERESA A MAYHEW-SUTHERLAND
Active
Other names
Teresa A Mayhew, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA A MAYHEW O.D. (OPTOMETRIST)
(805) 684-5476
Entity
Organization
Contact information
Practice address
5434 CARPINTERIA AVE, CARPINTERIA, CA 93013-1423
(805) 684-5476
(805) 684-5477
Mailing address
5434 CARPINTERIA AVE, CARPINTERIA, CA 93013-1423
(805) 684-5476
(805) 684-5477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8802T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265404180
PERSONAL NPI
CA
05
—
SD0088020
—
CA
Enumeration date
04/23/2010
Last updated
07/22/2010
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