MEDICARE: DR. DONALD DRUMMOND 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
1	152W00000X	Optometrist	CA 5382	CA

General Provider Information

NPI Number	:	1730261728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD DRUMMOND O.D.

Provider Business Mailing Address
First Line	:	PO BOX 1083
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94701-1083
Country	:	US
Telephone Number	:	510-758-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 HILLTOP MALL RD
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94806-1906
Country	:	US
Telephone Number	:	510-758-4444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/08/2007

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