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Organization
SIERRA EYECARE ASSOCIATES
Active
Organization
SIERRA EYECARE ASSOCIATES
Active
Other names
Sierra Eyecare Associates, Valley Springs
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE GIBSON O.D. (OWNER)
(209) 772-9798
Entity
Organization
Contact information
Practice address
4 JEAN ST, SUITE 1, VALLEY SPRINGS, CA 95252-8867
(209) 772-9798
Mailing address
4 JEAN ST, SUITE 1, VALLEY SPRINGS, CA 95252-8867
(209) 772-9798
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP5166
MEDICARE RAILROAD
CA
05
—
GSD005660
—
CA
Enumeration date
11/14/2006
Last updated
08/05/2009
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