| |
3530 S Mooney Blvd, Visalia, CA 93277-7774 | |
(559) 302-9819 | |
(561) 828-8367 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 3530 S Mooney Blvd, Visalia, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275848210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 13427 (California) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
3801 S Congress Ave, Palm Springs, FL 33461-4140 Ph: (561) 275-2020 | 3530 S Mooney Blvd, Visalia, CA 93277-7774 Ph: (559) 302-9819 |