Individual
DR. PAUL MICHAEL DOMANCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
616 H ST, EUREKA, CA 95501-1026
(707) 443-1619
Mailing address
616 H ST, EUREKA, CA 95501-1026
(707) 443-1619
(707) 443-1697
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
8073T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0080730
—
CA
Enumeration date
04/10/2006
Last updated
11/21/2007
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