in San Diego - Eyewear Supplier

- NPI 1104976430

is a Eyewear Supplier in San Diego, California. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for is 1104976430. The last update date is .

's current location address is 5405 University Ave, San Diego, California. You can contact this provider via phone number 6192861607 and fax number 6192861659. The mailing address for is 5405 University Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 5405 University Ave, San Diego, California
Phone Number 6192861607
Fax Number 6192861659
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1104976430
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 5405 University Ave
City San Diego
State California (CA)
Post Code 921052304
Phone Number 6192861607
Fax Number 6192861659

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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