Estudillo Plaza Optometry

NPI 1376651067 - Optometrist - 152W00000X

NPI Details
NPI 1376651067
Enumeration Date 08/25/2006
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BEVERLY A BEVERLY
Position OFFICE MANAGER
Phone (510) 357-2020
Fax (510) 357-2086
Practice Location
1377 MACARTHUR BLVD
SAN LEANDRO CA, 94577-3918, US
Phone (510) 357-2020
Fax (510) 357-2086
Business Location
1377 MACARTHUR BLVD
SAN LEANDRO CA, 94577-3918, US
Phone (510) 357-2020
Fax (510) 357-2086
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 58712
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According to our database, Estudillo Plaza Optometry NPI is 1376651067, taxonomy code is 152W00000X and license number is 58712, license state is located at California. Estudillo Plaza Optometry physically located at 1377 Macarthur Blvd, San Leandro CA, 94577-3918. NPI Number 1033115704 has the healthcare provider type.

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1376651067 NPI number is provided on an as is basis without warranty of any kind. 1376651067 is maintained by the National Plan & Provider Enumeration System. The contents of Estudillo Plaza Optometry are for informational purposes only.