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Organization

NORTH COUNTY OPHTHALMOLOGY MEDICAL GROUP, INC.

Active
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Organization

NORTH COUNTY OPHTHALMOLOGY MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDY F WOOD (BILLING SUPERVISOR)
(858) 485-5600
Entity
Organization

Contact information

Practice address
15708 POMERADO RD, SUITE N-202, POWAY, CA 92064-2066
(858) 485-5600
(858) 485-5692
Mailing address
15708 POMERADO RD, SUITE N-202, POWAY, CA 92064-2066
(858) 485-5600
(858) 485-5692

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180025388
RAILROAD MEDICARE
CA
05
—
GR0011770
—
CA
Enumeration date
08/01/2006
Last updated
05/22/2008
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