Taxera, Gary Richard

Taxera, Gary Richard is an individual health care provider with primary practice located at 1245 Tharp Rd , Yuba City CA 95993-2640. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Taxera, Gary Richard can be contacted via phone (530) 674-5273.

Contact Information

Primary practice address
1245 Tharp Rd Yuba City CA 95993-2640
Phone: (530) 674-5273
Fax: (530) 674-5275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7072T California

Profile Details

NPI number 1326094392
LBN Legal business name Taxera, Gary Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 17th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326094392 NPPES
California MEDICAID GSD004280
California MEDICAID SD0070720
California Other ZZZ07850Z

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