| |
1489 W Lacey Blvd Ste 101, Hanford, CA 93230-5957 | |
(877) 350-3399 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1489 W Lacey Blvd Ste 101, Hanford, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073277216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1615 S Congress Ave Ste 105, Delray Beach, FL 33445-6326 Ph: (561) 433-6009 | 1489 W Lacey Blvd Ste 101, Hanford, CA 93230-5957 Ph: (877) 350-3399 |