DR. Jack M Elizares, O.D.

NPI #1295715712 in Clearlake, California

Provider Information

NPI Number: 1295715712
Entity Type: Individual
Name: DR. Jack M Elizares, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 19, 2006
Last Updated: Mar 9, 2009

Practice Location

Address: 3610 OLD HIGHWAY 53
City: Clearlake
State: California
ZIP Code: 95422-9253
Phone: (707) 994-8641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Jack M. Elizares Optometric Corporation	Optometrist	Clearlake	AI Deep Dive

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