Brent Douglas Collins O.D.

NPI 1215231675 - Optometrist - 152W00000X

NPI Details
NPI 1215231675
Gender Male
Enumeration Date 12/28/2010
Last Updated 12/28/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
34800 BOB WILSON DR
OPTOMETRY CLINIC
SAN DIEGO CA, 92134-1098, US
Phone (619) 532-5840
Fax (619) 532-9889
Business Location
34800 BOB WILSON DR
OPTOMETRY CLINIC
SAN DIEGO CA, 92134-1098, US
Phone (619) 532-5840
Fax (619) 532-9889
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 14007 TLG
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According to our database, Brent Douglas Collins O.D. NPI is 1215231675, taxonomy code is 152W00000X and license number is 14007 TLG, license state is located at California. Brent Douglas Collins O.D. physically located at 34800 Bob Wilson Dr, San Diego CA, 92134-1098. NPI Number Brent Douglas Collins O.D. has the Individual type.

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1215231675 NPI number is provided on an as is basis without warranty of any kind. 1215231675 is maintained by the National Plan & Provider Enumeration System. The contents of Brent Douglas Collins O.D. are for informational purposes only.