Provider Demographics
NPI:1609186584
Name:ROBILLARD, CAYLA CL (OD)
Entity Type:Individual
Prefix:DR
First Name:CAYLA
Middle Name:CL
Last Name:ROBILLARD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CAYLA
Other - Middle Name:CL
Other - Last Name:PICKLYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:737 W CHILDS AVE
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341-6805
Mailing Address - Country:US
Mailing Address - Phone:209-385-5529
Mailing Address - Fax:209-383-1296
Practice Address - Street 1:857 W CHILDS AVE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-6862
Practice Address - Country:US
Practice Address - Phone:209-385-5600
Practice Address - Fax:209-385-5674
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2789152W00000X
CA14872152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist