Ski Run Optometry by Dr Maldonado and Dr. London

NPI #1558957589 in S Lake Tahoe, California

Provider Information

NPI Number: 1558957589
Entity Type: Organization
Organization Name: Ski Run Optometry by Dr Maldonado and Dr. London
Primary Specialty: Optometrist
Enumeration Date: Dec 14, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: 3637 LARCH AVE STE 2
City: S Lake Tahoe
State: California
ZIP Code: 96150-8478
Phone: (530) 544-3403

Authorized Official

Name: DR. ANDREA MALDONADO, OD
Title: OD/OWNER
Phone: (530) 544-3403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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