Organization
ANACLETO GUTIERREZ AN OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANACLETO GUTIERREZ O.D. (OWNER/OPTOMETRIST)
(916) 447-2020
Entity
Organization
Contact information
Practice address
2615 CAPITOL AVE, SACRAMENTO, CA 95816-5904
(916) 447-2020
(916) 447-0270
Mailing address
2615 CAPITOL AVE, SACRAMENTO, CA 95816-5904
(916) 447-2020
(916) 447-0270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710901004
NPPES
CA
Enumeration date
04/03/2018
Last updated
04/03/2018
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