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Organization
MICHAEL D LE OPTOMETRIC CORPORATION
Active
Organization
MICHAEL D LE OPTOMETRIC CORPORATION
Active
Other names
Palo Alto Vision Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D LE OD (PRESIDENT)
(650) 322-6656
Entity
Organization
Contact information
Practice address
109 CALIFORNIA AVE STE D101A, PALO ALTO, CA 94306-1926
(650) 322-6656
Mailing address
109 CALIFORNIA AVE STE D101A, PALO ALTO, CA 94306-1926
(650) 322-6656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093147092
NPI
CA
01
—
1437591500
NPI
CA
01
—
1871554113
NPI
CA
Enumeration date
02/28/2019
Last updated
02/28/2019
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