Organization
WALNUT CREEK OPTICAL
Active
Other names
Walnut Creek Optical at Rossmoor
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DRUCKER M.D. (PARTNER)
(925) 935-8822
Entity
Organization
Contact information
Practice address
1988 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2203
(925) 925-6650
(925) 935-6686
Mailing address
1855 SAN MIGUEL DR, SUITE 28, WALNUT CREEK, CA 94596-5279
(925) 935-8822
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
050143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0848850001
MEDICARE
CA
Enumeration date
02/14/2012
Last updated
02/14/2012
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