Individual
GARY LOWELL ENGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2231 BAYVIEW HEIGHTS DR, LOS OSOS, CA 93402-3900
(805) 528-5333
(805) 528-7723
Mailing address
PO BOX 6040, 1112 VINE ST, PASO ROBLES, CA 93446
(805) 528-5333
(805) 528-7723
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6208T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001440
—
CA
05
—
SD0062080
—
CA
Enumeration date
06/26/2006
Last updated
02/24/2017
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