Organization
ALFRED APPLEGARTH O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED L APPLEGARTH O.D. (OWNER)
(805) 543-0822
Entity
Organization
Contact information
Practice address
127 CASA ST, SAN LUIS OBISPO, CA 93405-1803
(805) 543-0822
Mailing address
127 CASA ST, SAN LUIS OBISPO, CA 93405-1803
(805) 543-0822
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPT 7714 TPA
CA
Other
Enumeration date
01/16/2008
Last updated
02/12/2008
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