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Organization
ORION VISION INC.
Active
Organization
ORION VISION INC.
Active
Other names
My Eye Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(561) 433-6009
Entity
Organization
Contact information
Practice address
5859 FOOTHILL BLVD STE 3, OAKLAND, CA 94605-1305
(561) 272-2020
Mailing address
526 14TH STREET, OAKLAND, CA 94605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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