Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY DANIEL WALDROP, OPTICIAN
Active Sole ProprietorMR. GARY DANIEL WALDROP, OPTICIAN is a Optician, Dispensing healthcare provider located in SHASTA LAKE, California. NPI 1861516007 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · SHASTA LAKE, CA
Registration Details
- NPI Number
- 1861516007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2007 (19.229166293738 yrs)
- Last Updated
- Jul 8, 2007
- License
-
141463 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4601 SHASTA DAM BLVDSHASTA LAKE, CA, 960199413Browse CA providers · Browse ZIP 96019
- Phone
- 5302758581
- Fax
- 5302758596
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in SHASTA LAKE, CA
| Name | Credential | NPI |
|---|---|---|
| DENISE DILTS-WALDROP | — | 1851812267 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.