# EYEXAM OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003203852
- **Authorized official:** DR. RANDI MCMICHAEL O.D. (OPTOMETRIST)
- **Authorized official phone:** (617) 866-7582

## Contact information

- **Practice address:** 496 PLAZA DR, WEST COVINA, CA 91790-2854
- **Practice address phone:** (626) 814-4681
- **Mailing address:** 496 PLAZA DR, WEST COVINA, CA 91790-2854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 15144TLG | CA | Yes |

## Other

- **Enumeration date:** 04/20/2015
- **Last updated:** 04/20/2015