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Organization
ROBERT M THEAKER O D AN OPTOMETRIC CORPORATION
Active
Organization
ROBERT M THEAKER O D AN OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BOYER (OFFICE MANAGER)
(831) 637-5536
Entity
Organization
Contact information
Practice address
365 6TH ST, HOLLISTER, CA 95023-3834
(831) 637-5536
(831) 637-7601
Mailing address
365 6TH ST, HOLLISTER, CA 95023-3834
(831) 637-5536
(831) 637-7601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FNP 2359
CA
Other
Enumeration date
08/10/2006
Last updated
09/17/2015
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