Provider Demographics
NPI:1417932963
Name:DURAND, ALANE DENISE (OD)
Entity Type:Individual
Prefix:
First Name:ALANE
Middle Name:DENISE
Last Name:DURAND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2824 MARIGOLD DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-1139
Mailing Address - Country:US
Mailing Address - Phone:707-428-5353
Mailing Address - Fax:707-423-7570
Practice Address - Street 1:101 BODIN CIR
Practice Address - Street 2:60AMDS/SGPE
Practice Address - City:TRAVIS AFB
Practice Address - State:CA
Practice Address - Zip Code:94535-1809
Practice Address - Country:US
Practice Address - Phone:707-423-7171
Practice Address - Fax:707-423-7570
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7616152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist