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NPI Code Detail

MEDICARE: DR. LINDA ANNE CUSHING O.D.

MEDICARE:  DR. LINDA ANNE CUSHING  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist9502TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZ14176ZOTHERCAPARTNERSHIP

General Provider Information

NPI Number : 1790785780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA ANNE CUSHING O.D.
Provider Business Mailing Address
First Line : 1553 PALOS VERDES MALL
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94597-2228
Country : US
Telephone Number : 925-934-9328
Fax Number : 925-934-9383
Provider Business Practice Location Address
First Line : 1553 PALOS VERDES MALL
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94597-2228
Country : US
Telephone Number : 925-934-9328
Fax Number : 925-934-9383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LINDA ANNE CUSHING O.D.” Practice Location

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