SearchCaliforniaOptometrist

Jack Hall, O.D

NPI 1639228331 · on the registry since 2007 · sole proprietor

Practice

Address
3801 Pelandale Ave
Modesto, CA 95356
Phone
(209) 543-0220
Fax
(209) 543-0220
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Marinello Manuel Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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