Organization
LARKSPUR LANDING OPTOMETRY
Active
Organization
LARKSPUR LANDING OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HAACK O.D. (PARTNER)
(415) 925-9091
Entity
Organization
Contact information
Practice address
2005 LARKSPUR LANDING CIR, LARKSPUR, CA 94939-1802
(415) 925-9091
(415) 925-9092
Mailing address
2005 LARKSPUR LANDING CIR, LARKSPUR, CA 94939-1802
(415) 925-9091
(415) 925-9092
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
10121T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0101210
—
CA
Enumeration date
10/31/2005
Last updated
08/22/2020
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