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Organization
PAUL R. GOLLENDER, O.D.
Active
Organization
PAUL R. GOLLENDER, O.D.
Active
Other names
Renaissance Eye, A Professional Optometry Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RICHARD GOLLENDER O.D. (OPTOMETRIST/SHAREHOLDER)
(916) 786-8909
Entity
Organization
Contact information
Practice address
1263 PLEASANT GROVE BLVD, SUITE 100, ROSEVILLE, CA 95747-5858
(916) 786-8909
(916) 773-1195
Mailing address
1263 PLEASANT GROVE BLVD, SUITE 100, ROSEVILLE, CA 95747-5858
(916) 786-8909
(916) 773-1195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8998TG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0089980
—
CA
Enumeration date
05/16/2006
Last updated
09/26/2007
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