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Organization

DIXON EYECARE ASSOCIATES AN OPTOMETRIC CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN GILLILAND ROSTEN O.D. (PRESIDENT)
(707) 678-3055
Entity
Organization

Contact information

Practice address
125 N LINCOLN ST, SUITE A, DIXON, CA 95620-3258
(707) 678-3055
(707) 678-9265
Mailing address
125 N LINCOLN ST, SUITE A, DIXON, CA 95620-3258
(707) 678-3055
(707) 678-9265

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6335T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ07696Z
CA
Enumeration date
01/19/2007
Last updated
01/21/2010
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