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Organization
MISSION OPTOMETRIC CENTER
Active
Organization
MISSION OPTOMETRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH KEITH KIKUMOTO O.D. (OWNER)
(949) 496-0552
Entity
Organization
Contact information
Practice address
31401 RANCHO VIEJO RD STE 103, SAN JUAN CAPISTRANO, CA 92675-1850
(949) 496-0552
(949) 443-3794
Mailing address
31401 RANCHO VIEJO RD STE 103, SAN JUAN CAPISTRANO, CA 92675-1850
(949) 496-0552
(949) 443-3794
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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