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General NPI Number Information
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NPI Number | 1073970687
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Entity Type | Organization
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Legal Business Name | TORY PRESTERA MD INC.
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 340 RANCHEROS DRIVE SUITES 164/166
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City | SAN MARCOS
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State | CA
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Zip | 92069
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Country | US
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Telephone | 760-598-0400
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Fax | 760-290-7044
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Provider Business Mailing Address
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Address Line | 340 RANCHEROS DRIVE SUITES 164/166
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City | SAN MARCOS
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State | CA
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Zip | 92069
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Country | US
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Telephone | 760-598-0400
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Fax | 760-290-7044
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | TORY PRESTERA
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Credential | MD.,PHD
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Telephone | 760-598-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A62321
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License Number State | CA
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