Provider Demographics
NPI:1932455086
Name:PLETT, LINDSAY MARIE (OD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MARIE
Last Name:PLETT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-2749
Mailing Address - Country:US
Mailing Address - Phone:209-667-6031
Mailing Address - Fax:209-667-4512
Practice Address - Street 1:1001 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-2749
Practice Address - Country:US
Practice Address - Phone:209-667-6031
Practice Address - Fax:209-667-4512
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002134152W00000X
CA15194152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist