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General NPI Number Information
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NPI Number | 1003020223
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Entity Type | Individual
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Provider Name | DAVID P TODD JR. OD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 19270 HIGHWAY 12
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City | SONOMA
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State | CA
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Zip | 95476-5414
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Country | US
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Telephone | 707-939-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 2765 LEXINGTON AVE
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City | MERCED
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State | CA
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Zip | 95340-3388
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Country | US
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Telephone | 561-213-7583
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3189
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001915
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0618001915
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 14252
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License Number State | CA
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