Individual
DR. CAILYN KATSEV RUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2946 DE LA VINA ST, SANTA BARBARA, CA 93105-3310
(314) 432-1134
(314) 432-1135
Mailing address
2946 DE LA VINA ST, SANTA BARBARA, CA 93105-3310
(805) 967-9990
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2017020394
MO
152W00000X
Optometrist
Primary
OPT33892TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33892TLG
LICENSE
CA
Enumeration date
08/26/2017
Last updated
10/18/2022
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