Individual
DR. DEBRA C PATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
215 VERNON ST, ROSEVILLE, CA 95678-2632
(916) 783-8144
(916) 783-8179
Mailing address
215 VERNON ST, ROSEVILLE, CA 95678-2632
(916) 783-8144
(916) 783-8179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410030767
RAILROAD MEDICARE
CA
05
—
SD0106530
—
CA
Enumeration date
05/24/2005
Last updated
05/21/2024
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