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Organization
RICHARD M PETERS OD AN OPTOMETRIC CORPORATION
Active
Organization
RICHARD M PETERS OD AN OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MICHAEL PETERS OD (OWNER/PRESIDENT)
(310) 834-5464
Entity
Organization
Contact information
Practice address
810 N AVALON BLVD, WILMINGTON, CA 90744-4502
(310) 834-5464
(310) 835-6665
Mailing address
810 N AVALON BLVD, WILMINGTON, CA 90744-4502
(310) 834-5464
(310) 835-6665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4741T
CA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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