Organization
ARTHUR N DONALDSON M D INC
Active
Other names
Donaldson Eye Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD E ARDRON M.D. (PRESIDENT)
(209) 532-0340
Entity
Organization
Contact information
Practice address
595 STANISLAUS AVE., SUITE A, ANGELS CAMP, CA 95222-0387
(209) 736-5555
(209) 532-1687
Mailing address
940 SYLVA LN, SUITE G, SONORA, CA 95370-5969
(209) 736-6555
(209) 532-1687
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110900
EYEMED
CA
01
—
C08447018
NSC ENVOY SUBMITTER
CA
05
—
GR0085461
—
CA
01
—
ZZZ27242Z
BLUE SHIELD GROUP PROVIDR
CA
Enumeration date
12/21/2006
Last updated
08/22/2020
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