| Orange Coast Laser Vision Center, Inc. | |
|
2646 Dupont Dr Suite 270 Irvine CA 92612-8887 | |
| (949) 251-1497 | |
| (949) 251-1498 |
| Full Name | Orange Coast Laser Vision Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2646 Dupont Dr, Irvine, California |
| Authorized Official Name and Position | James Harlan Johnson (PRESIDENT) |
| Authorized Official Contact | 9492511497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Coast Laser Vision Center, Inc. 2646 Dupont Dr Suite 270 Irvine CA 92612-8887 Ph: (949) 251-1497 | Orange Coast Laser Vision Center, Inc. 2646 Dupont Dr Suite 270 Irvine CA 92612-8887 Ph: (949) 251-1497 |
| NPI Number | 1568630051 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 02/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568630051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G076132 (California) | Primary |
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