Individual
DR. GARY BRUCE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1140 MAIN ST STE 207, RAMONA, CA 92065-2168
(760) 789-1191
(760) 789-1216
Mailing address
1140 MAIN ST STE 207, RAMONA, CA 92065-2168
(760) 789-1191
(760) 789-1216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7998T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP7998
BLUE SHIELD
CA
05
—
SD0079980
—
CA
Enumeration date
07/05/2006
Last updated
01/15/2009
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