Organization
DOUGLAS R. MYERS, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RICHARD MYERS O.D. (OPTOMETRIST / CEO)
(530) 891-1146
Entity
Organization
Contact information
Practice address
119 YELLOWSTONE DR, CHICO, CA 95973-5811
(530) 891-1146
(530) 891-0123
Mailing address
119 YELLOWSTONE DR, CHICO, CA 95973-5811
(530) 891-1146
(530) 891-0123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5438 T
CA
152W00000X
Optometrist
9963 T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000690
—
CA
Enumeration date
05/24/2006
Last updated
08/22/2020
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