Organization
EATON OPTOMETRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI P KAUFMANN (OFFICE MANAGER)
(209) 835-1181
Entity
Organization
Contact information
Practice address
4598 S TRACY BLVD STE 130, TRACY, CA 95377-8107
(209) 835-1181
(209) 835-9396
Mailing address
4598 S TRACY BLVD STE 130, TRACY, CA 95377-8107
(209) 835-1181
(209) 835-9396
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FNP 543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001220
—
CA
Enumeration date
03/28/2007
Last updated
07/15/2009
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