Kensington Optometry INC

NPI #1801825591 in Kensington, California

Provider Information

NPI Number: 1801825591
Entity Type: Organization
Organization Name: Kensington Optometry INC
Primary Specialty: Optometrist
Enumeration Date: Jul 3, 2006
Last Updated: Oct 21, 2016

Practice Location

Address: 396 COLUSA AVE
City: Kensington
State: California
ZIP Code: 94707-1209
Phone: (510) 527-1714

Authorized Official

Name: DR. RUSSELL NORMAN COTTERAL, OD
Title: PRESIDENT, OWNER, OPTOMETRIST
Phone: (510) 527-1714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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