Organization
GUMM'S OPTICAL SHOPPE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GUMM (REGISTERED DISPENSING OPTICIAN)
(530) 527-2510
Entity
Organization
Contact information
Practice address
910 MAIN ST, SUITE C, RED BLUFF, CA 96080-2735
(530) 527-2510
(530) 529-1150
Mailing address
910 MAIN ST, SUITE C, RED BLUFF, CA 96080-2735
(530) 527-2510
(530) 529-1150
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D 1940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0757470001
SUPPLIER
CA
Enumeration date
04/24/2007
Last updated
11/06/2007
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