Individual
DR. DONALD HUNTLEY SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
944 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3757
(909) 982-3040
(909) 982-5996
Mailing address
944 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3757
(909) 982-3040
(909) 982-5996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6810-T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD 0068100
—
CA
01
—
SD0068100
MEDICARE RENDERING #
CA
01
—
SD0068101
MEDICARE PTAN
CA
Enumeration date
05/04/2007
Last updated
05/16/2008
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