Jack M. Elizares Optometric Corporation is a Optometrist Center in Clearlake, California. It is situated at 3610 Old Hwy 53, Clearlake and its contact number is 707-994-8641. The authorized person of Jack M. Elizares Optometric Corporation is Jack M. Elizares
who is Ceo, Cfo of the clinic and their contact number is 707-994-8641. Primary license number for Jack M. Elizares Optometric Corporation is 6646 (Optometrist) in California. Jack M. Elizares Optometric Corporation Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Jack M. Elizares Optometric Corporation Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
3610 Old Hwy 53, Clearlake, California, 95422-9543
Phone:
707-994-8641
Fax:
707-994-5858
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jack M. Elizares
Position:
Ceo, Cfo
Contact Number:
707-994-8641
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jack M. Elizares Optometric Corporation Center are as mentioned below.
NPI Number:
1164932976
NPI Enumeration Date:
06 Oct, 2017
NPI Last Update On:
06 Oct, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack M. Elizares Optometric Corporation are as mentioned below.
Specialization
License Number
State
Status
Optometrist
6646
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
SD0066460
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jack M. Elizares Optometric Corporation 3610 Old Highway 53, Clearlake, California
Zip:
95422-9253
Phone Number:
707-994-8641
Fax Number:
707-994-5858
Patients can reach Jack M. Elizares Optometric Corporation at 3610 Old Hwy 53, Clearlake, California or can call to book an appointment on 707-994-8641. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.