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Organization
PENELOPE S. SUTER, O.D., AN OPTOMETRIC PROFESSIONAL CORPORATION
Active
Organization
PENELOPE S. SUTER, O.D., AN OPTOMETRIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE S SUTER O.D. (CEO)
(661) 869-2010
Entity
Organization
Contact information
Practice address
5300 CALIFORNIA AVE STE 210, BAKERSFIELD, CA 93309
(661) 869-2010
(661) 869-2708
Mailing address
5300 CALIFORNIA AVE STE 210, BAKERSFIELD, CA 93309-1642
(661) 869-2010
(661) 869-2708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
08128T
CA
152WV0400X
Vision Therapy Optometrist
01828T
CA
225400000X
Rehabilitation Practitioner
01828T
CA
Other
Enumeration date
05/25/2007
Last updated
07/10/2018
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