Individual
DR. H ROBERT DYKES III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
854 EMERALD BAY RD, STE C, SOUTH LAKE TAHOE, CA 96150-6438
(530) 544-2020
(530) 544-1838
Mailing address
854 EMERALD BAY RD, SUITE C, SOUTH LAKE TAHOE, CA 96150-6438
(530) 544-2020
(530) 544-1838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5141T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0051410
—
CA
Enumeration date
10/03/2005
Last updated
07/08/2007
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