Organization
DR. K.J.KOPECKO, O.D. AND DR. CHRISTINE L. MAYER, O.D., OPTOMETRY CORP
Active
Other names
Drs. Kopecko and Mayer Vision Clinic Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LOUISE MAYER (CFO)
(707) 643-8202
Entity
Organization
Contact information
Practice address
2623 SPRINGS RD, VALLEJO, CA 94591-5712
(707) 643-8202
Mailing address
2623 SPRINGS RD, VALLEJO, CA 94591-5712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0022000
—
CA
Enumeration date
03/30/2007
Last updated
01/03/2008
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