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Contact Information

BENJAMIN TAUTGES, OD
44139 MONTEREY AVE STE A
PALM DESERT, CA92260
 Phone: 760-779-0800
 Fax: 760-779-0801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BENJAMIN TAUTGES · (Male)

NPI Number 1225527153
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/07/2018
Last updated 08/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2237
  • CA License # 33945
  • CA Medicaid 1760541569
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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