| |
700 W El Norte Pkwy, Escondido, CA 92026-3923 | |
(760) 738-7800 | |
(760) 738-7834 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 700 W El Norte Pkwy, Escondido, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053578575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | G51651 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
3939 3rd Ave, San Diego, CA 92103-3002 Ph: (619) 296-8525 | 700 W El Norte Pkwy, Escondido, CA 92026-3923 Ph: (760) 738-7800 |