Tania Mantua & Matt H SIU OD a Professional Corporation
Tania Mantua & Matt H SIU OD a Professional Corporation is an Optometrist in Novato, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
7075 Redwood Blvd Ste FNovato, CA 94945-4136
Phone: (415) 897-2997
Fax: (415) 898-3626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 8008T (CA) |
|---|
Record details
| NPI number | 1376762229 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lauren Olsen — Office Manager · (415) 897-2997 |
| Other names | Eyewish Optometry |
| NPI enumerated | April 25, 2007 |
| Last updated in NPPES | June 13, 2023 |
| Certification date | June 13, 2023 |
| Mailing address | 7075 Redwood Blvd Ste F, Novato, CA 94945-4136 |
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Dr. Dennis Lane Palm, OD
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Dr. Lora G Pond, OD
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Dr. Julie Anne Ring, OD
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Matt SIU, OD
7075 Redwood Blvd Ste F, Novato, CA 94945-4136 · (415) 897-2997
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