Provider Demographics
NPI:1619169943
Name:TODD A . AUKER MD. A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:TODD A . AUKER MD. A PROFESSIONAL CORPORATION
Other - Org Name:AUKER EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:AUKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-931-1090
Mailing Address - Street 1:2324 SANTA RITA RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4152
Mailing Address - Country:US
Mailing Address - Phone:925-931-1090
Mailing Address - Fax:925-931-1091
Practice Address - Street 1:2324 SANTA RITA RD
Practice Address - Street 2:SUITE 7
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4152
Practice Address - Country:US
Practice Address - Phone:925-931-1090
Practice Address - Fax:925-931-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG057565207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAX67543Medicare UPIN
CAF15469Medicare UPIN
CAZZZ22133ZMedicare PIN
CA00G575650Medicare PIN