Provider Demographics
NPI:1467578872
Name:RAULINO, JAMES BURNELL (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BURNELL
Last Name:RAULINO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7170
Mailing Address - Street 2:
Mailing Address - City:TAHOE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:96145-7170
Mailing Address - Country:US
Mailing Address - Phone:530-583-5004
Mailing Address - Fax:530-583-0217
Practice Address - Street 1:18601 WEDGE PKWY # 2C
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-3321
Practice Address - Country:US
Practice Address - Phone:775-358-1020
Practice Address - Fax:775-358-7951
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA9678T152W00000X
NV994152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist