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DR. THOMAS A ALLER O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1366431330

Individual Registrant:
DR. THOMAS A ALLER O.D.
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

Contact information for business:
711 KAINS AVE  SAN BRUNO, CA 94066-3404 US
Tel: 650-871-1816  Fax: 650-871-0164

Registration Information:
NPI: 1366431330
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA7684T
N152WC0802XEye and Vision Services Providers
Optometrist
CA7684T

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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