MEDICARE: MARGARET D. RAULINO 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	9655	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902862212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET D. RAULINO O.D.

Provider Business Mailing Address
First Line	:	PO BOX 7170
Second Line	:
City	:	TAHOE CITY
State	:	CA
Zip	:	96145-7170
Country	:	US
Telephone Number	:	530-583-5004
Fax Number	:	530-583-0217

Provider Business Practice Location Address
First Line	:	1225 NORTH LAKE BLVD
Second Line	:
City	:	TAHOE CITY
State	:	CA
Zip	:	96145-7170
Country	:	US
Telephone Number	:	530-583-5004
Fax Number	:	530-583-0217

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	04/04/2014

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