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General NPI Number Information
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NPI Number | 1982588752
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Entity Type | Organization
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Legal Business Name | TURLOCK EYECARE OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1199 DELBON AVE STE 4
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City | TURLOCK
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State | CA
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Zip | 95382-2006
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Country | US
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Telephone | 209-667-6211
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Fax | 209-667-2574
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Provider Business Mailing Address
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Address Line | 1199 DELBON AVE STE 4
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City | TURLOCK
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State | CA
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Zip | 95382-2006
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Country | US
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Telephone | 209-667-6211
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Fax | 209-667-2574
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Authorized Official
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Title or Position | PRESIDENT
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Name | COLLIN ROBILLARD
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Credential | OD
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Telephone | 209-667-6211
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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 |
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License Number State |
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