Organization Name: | GERALD T. PITTLER, O.D., INC. |
NPI Number: | 1033410014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD T PITTLER (OWNER/PRESIDENT) |
Mailing Address: | 855 Lakeville St Suite 102 Petaluma |
State: | CA US |
Postal Code: | 949527327 |
Phone Number: | 7077631423 |
Fax Number: | 7079814582 |
NPI Enumeration Date: | 11/08/2010 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 6321 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |