Individual
GERALD THOMAS PITTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
855 LAKEVILLE ST STE 102, PETALUMA, CA 94952-7328
(707) 763-1423
(707) 981-4582
Mailing address
855 LAKEVILLE ST STE 102, PETALUMA, CA 94952-7328
(707) 763-1423
(707) 981-4582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699708727
NPI
CA
Enumeration date
07/09/2006
Last updated
12/27/2022
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