| Imperial Valley Optomtric Corporation | |
|
1113 Imperial Ave. W., Ste 103, Calexico, CA 92231 | |
| (760) 336-3003 | |
| (888) 210-5799 |
| Full Name | Imperial Valley Optomtric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1113 Imperial Ave. W., Calexico, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508143827 | NPI | - | NPPES |
| GSD005600 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Valley Optomtric Corporation 3451 S Dogwood Ave, Ste 1334, El Centro, CA 92243 Ph: (760) 768-9484 | Imperial Valley Optomtric Corporation 1113 Imperial Ave. W., Ste 103, Calexico, CA 92231 Ph: (760) 336-3003 |
Imperial Valley Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1113 Imperial Ave W, Suite 103, Calexico, CA 92231 Phone: 760-768-9484 | |
David R. Boniface, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 329 W 2nd St, Calexico, CA 92231 Phone: 760-357-2712 Fax: 760-357-5710 |