SearchCalifornia156FX1800X

Gary Waldrop, OPTICIAN

NPI 1861516007 · on the registry since 2007 · sole proprietor

Practice

Address
4601 Shasta Dam Blvd
Shasta Lake, CA 96019
Phone
(530) 275-8581
Fax
(530) 275-8596

Registry record

Primary taxonomy
156FX1800X
156FX1800X
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