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Organization
K J KOPECKO O D CHRISTINE L MAYER O D OPTOMETRY CORP
Active
Organization
K J KOPECKO O D CHRISTINE L MAYER O D OPTOMETRY CORP
Active
Other names
Drs. Kopecko and Mayer Vision Clinic Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LOUISE MAYER (CFO)
(707) 447-1332
Entity
Organization
Contact information
Practice address
2581 NUT TREE RD, SUITE C, VACAVILLE, CA 95687-6915
(707) 447-1332
Mailing address
2581 NUT TREE RD, SUITE C, VACAVILLE, CA 95687-6915
(707) 447-1332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0022001
—
CA
Enumeration date
04/03/2007
Last updated
01/29/2013
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