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Contact Information

DAVID C MOLINE, OD
36 W 10TH STREET
TRACY, CA95376
 Phone: 209-835-7446
 Fax: 209-835-3572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID C MOLINE · (Male)

NPI # 1134133929
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/28/2006
Last updated 05/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 7528
  • CA Medicaid SD075281
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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