Big Bear Optometry

NPI 1093061426 - Optometrist - 152W00000X

NPI Details
NPI 1093061426
Enumeration Date 08/03/2012
Last Updated 08/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANNA ANNA
Position CEO
Phone (909) 866-8002
Fax (909) 866-8023
Practice Location
42002 FOX FARM ROAD
SUITE 100
BIG BEAR LAKE CA, 92315-1553, US
Phone (909) 866-8002
Fax (909) 866-8023
Business Location
PO BOX 1553
BIG BEAR LAKE CA, 92315-1553, US
Phone (909) 866-8002
Fax (909) 866-8023
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10674T
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According to our database, Big Bear Optometry NPI is 1093061426, taxonomy code is 152W00000X and license number is 10674T, license state is located at California. Big Bear Optometry physically located at 42002 Fox Farm Road, Big Bear Lake CA, 92315-1553. NPI Number 1033115704 has the healthcare provider type.

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1093061426 NPI number is provided on an as is basis without warranty of any kind. 1093061426 is maintained by the National Plan & Provider Enumeration System. The contents of Big Bear Optometry are for informational purposes only.