| Laguna Eyes Optometry Pc | |
|
1100 S Coast Hwy Ste 201 Laguna Beach CA 92651-2968 | |
| (949) 497-1769 | |
| (949) 497-2808 |
| Full Name | Laguna Eyes Optometry Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 S Coast Hwy, Laguna Beach, California |
| Authorized Official Name and Position | Sasha Lock (OFFICE MANGER/BIILER) |
| Authorized Official Contact | 9494971769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Eyes Optometry Pc 1100 S Coast Hwy Ste 201 Laguna Beach CA 92651-2968 Ph: (949) 497-1769 | Laguna Eyes Optometry Pc 1100 S Coast Hwy Ste 201 Laguna Beach CA 92651-2968 Ph: (949) 497-1769 |
| NPI Number | 1265632509 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 09/08/2009 |
| Medicare PECOS PAC ID | 2062566458 |
|---|---|
| Medicare Enrollment ID | O20090819000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265632509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alicia M Harrison-sicre |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124247523 PECOS PAC ID: 5294889523 Enrollment ID: I20090820000464 |
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