Organization
GERALD T PITTLER O. D. INC.
Active
Parent organization
GERALD T PITTLER O. D. INC.
Other names
Lakeville Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GERALD T PITTLER O. D. INC.
Authorized official
GERALD T PITTLER OD (PRESIDENT)
(707) 763-1423
Entity
Organization
Contact information
Practice address
855 LAKEVILLE ST, SUITE 102, PETALUMA, CA 94952-7327
(707) 763-1423
(707) 981-4582
Mailing address
855 LAKEVILLE ST, SUITE 102, PETALUMA, CA 94952-7327
(707) 763-1423
(707) 981-4582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6321
CA
332H00000X
Eyewear Supplier
6321
CA
Other
Enumeration date
11/08/2010
Last updated
01/12/2023
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