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Organization
NORTH LAKE EYECARE OPTOMETRY
Active
Organization
NORTH LAKE EYECARE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET D RAULINO O.D. (OPTOMETRIST/OWNER)
(530) 583-5004
Entity
Organization
Contact information
Practice address
1225 N LAKE BLVD, TAHOE CITY, CA 96145-7170
(530) 583-5004
(530) 583-0217
Mailing address
PO BOX 7170, TAHOE CITY, CA 96145-7170
(530) 583-5004
(530) 583-0217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9655T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001010
—
CA
Enumeration date
12/29/2009
Last updated
03/08/2011
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