Eduardita Eolani Vicencio in Apple Valley - Ophthalmology
Eduardita Eolani Vicencio - NPI 1790903573
Eduardita Eolani Vicencio is a Ophthalmology in Apple Valley, California. Eduardita Eolani Vicencio practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Eduardita Eolani Vicencio is 1790903573. The last update date is 2014-10-06.
Eduardita Eolani Vicencio's current location address is 16031 Tuscola Rd, Apple Valley, California. You can contact this provider via phone number 7609462020. The mailing address for Eduardita Eolani Vicencio is 16031 Tuscola Rd, Apple Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eduardita Eolani Vicencio |
|---|---|
| Address | 16031 Tuscola Rd, Apple Valley, California |
| Phone Number | 7609462020 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790903573 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2014-10-06 |
Provider Mailing Address Detail
| Address | 16031 Tuscola Rd |
|---|---|
| City | Apple Valley |
| State | California (CA) |
| Post Code | 923071319 |
| Phone Number | 7609462020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | A23710 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A237100 | CA | -- |
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What is the Eduardita Eolani Vicencio's 1790903573?
The Eduardita Eolani Vicencio's NPI (National Provider Identifier) Number is 1790903573. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Eduardita Eolani Vicencio's facilities are geographically located?
The facilities of Eduardita Eolani Vicencio are physically situated at the following location: 16031 Tuscola Rd, Apple Valley, CA, 923071319.
What is Eduardita Eolani Vicencio's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eduardita Eolani Vicencio is Ophthalmology, and the taxonomy code that classifies this field of practice is 207W00000X.
On what date was the 1790903573 assigned to Eduardita Eolani Vicencio?
The Eduardita Eolani Vicencio was issued its 1790903573 on 2007-04-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Eduardita Eolani Vicencio's information last updated?
The Eduardita Eolani Vicencio's information was last updated on 2014-10-06.