Organization
AMADOR EYE CARE ASSOCIATES OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD RANDALL PICKENS O.D. (OWNER)
(209) 223-1402
Entity
Organization
Contact information
Practice address
10 BRYSON DR, SUTTER CREEK, CA 95685-4118
(209) 223-1402
(209) 267-0473
Mailing address
10 BRYSON DR, SUTTER CREEK, CA 95685-4118
(209) 223-1402
(209) 267-0473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6317-T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124088422
INDIVDUAL NPI
CA
Enumeration date
05/28/2006
Last updated
05/18/2015
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