Search › California › 152W00000X
Jack Elizares, O.D
NPI 1295715712 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3610 Old Highway 53
Clearlake, CA 95422 - Phone
- (707) 994-8641
- Fax
- (707) 994-5858
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California