Individual
BRUCE ALAN HINKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1019 16TH ST, MODESTO, CA 95354-1105
(209) 526-2737
(209) 338-0074
Mailing address
1019 16TH ST, MODESTO, CA 95354-1105
(209) 526-2737
(209) 338-0151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5693T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0056930
—
CA
Enumeration date
10/19/2005
Last updated
04/14/2008
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