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Organization
SCOTT A LEWIS OPTOMETRIC
Active
Organization
SCOTT A LEWIS OPTOMETRIC
Active
Other names
scott lewis optometric corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A LEWIS O.D. (OWNER)
(951) 677-5144
Entity
Organization
Contact information
Practice address
24400 JACKSON AVE STE A, MURRIETA, CA 92562-1987
(951) 677-5144
(951) 698-1892
Mailing address
24400 JACKSON AVE STE A, MURRIETA, CA 92562-1987
(951) 677-5144
(951) 698-1892
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6026T
CA
152W00000X
Optometrist
Primary
6729T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000591
—
CA
Enumeration date
01/12/2007
Last updated
08/01/2008
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