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Organization
TANYA N GILL OPTOMETRIC, INC.
Active
Organization
TANYA N GILL OPTOMETRIC, INC.
Active
Other names
Oakland Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA NATASHIA GILL O.D. (PRESIDENT)
(510) 893-5566
Entity
Organization
Contact information
Practice address
1960 BROADWAY, OAKLAND, CA 94612-2206
(510) 893-5566
(510) 893-3921
Mailing address
1960 BROADWAY, OAKLAND, CA 94612-2206
(510) 893-5566
(510) 893-3921
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11136T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11136T
OPTOMETRY LICENSE
CA
Enumeration date
10/02/2007
Last updated
10/02/2007
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