Organization
ANTHONY P. GIANNOTTI OD PROFESSIONAL OPTOMETRIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY P GIANNOTTI O.D. (PRESIDENT AND CEO)
(831) 438-4482
Entity
Organization
Contact information
Practice address
266 MOUNT HERMON RD, SUITE O, SCOTTS VALLEY, CA 95066-4010
(831) 438-4482
(831) 438-7360
Mailing address
266 MOUNT HERMON RD, SUITE O, SCOTTS VALLEY, CA 95066-4010
(831) 438-4482
(831) 438-7360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6667TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669446522
INDIVIDUAL NPI
CA
Enumeration date
05/24/2012
Last updated
06/14/2012
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