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DR. THOMAS A ALLER O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1366431330
Individual Registrant:DR. THOMAS A ALLER O.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
711 KAINS AVE SAN BRUNO, CA 94066-3404 US
Tel: 650-871-1816 Fax: 650-871-0164
Tel: 650-871-1816 Fax: 650-871-0164
Contact information for business:
711 KAINS AVE SAN BRUNO, CA 94066-3404 US
Tel: 650-871-1816 Fax: 650-871-0164
Tel: 650-871-1816 Fax: 650-871-0164
Registration Information:
NPI: 1366431330
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CA | 7684T |
| N | 152WC0802X | Eye and Vision Services Providers Optometrist | CA | 7684T |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
