Jack M. Elizares Optometric Corporation
Jack M. Elizares Optometric Corporation is an Optometrist in Clearlake, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
3610 Old Hwy 53Clearlake, CA 95422-9543
Phone: (707) 994-8641
Fax: (707) 994-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 6646 (CA) |
|---|
Record details
| NPI number | 1164932976 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Elizares — Ceo, Cfo · (707) 994-8641 |
| NPI enumerated | October 6, 2017 |
| Last updated in NPPES | October 6, 2017 |
| Mailing address | 3610 Old Highway 53, Clearlake, CA 95422-9253 |
Other providers in Clearlake
-
Dr. Robert Bonner, OD
14595 Olympic Dr, Clearlake, CA 95422-9100 · (707) 994-1488
-
Dr. Jack M Elizares, OD
3610 Old Highway 53, Clearlake, CA 95422-9253 · (707) 994-8641