| La Verne Optometry | |
|
2248 D St La Verne CA 91750-5403 | |
| (909) 593-3519 | |
| (909) 593-3521 |
| Full Name | La Verne Optometry |
|---|---|
| Speciality | Clinic/center |
| Location | 2248 D St, La Verne, California |
| Authorized Official Name and Position | Donald J Guido (PRESIDENT) |
| Authorized Official Contact | 9095933519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Verne Optometry 2248 D St La Verne CA 91750-5403 Ph: (909) 593-3519 | La Verne Optometry 2248 D St La Verne CA 91750-5403 Ph: (909) 593-3519 |
| NPI Number | 1609892611 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 09/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609892611 | NPI | - | NPPES |
| 1609892611 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7205T (California) | Primary |
Pvhc@ Laverne Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2333 Foothill Blvd Ste B, La Verne, CA 91750 Phone: 909-392-6501 Fax: 909-469-2136 | |
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