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Organization
SIMPSON & DURAN OPTOMETRY INC
Active
Organization
SIMPSON & DURAN OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY OJEDA D.O (BILLING DEPARTMENT)
(909) 986-0918
Entity
Organization
Contact information
Practice address
1131 W 6TH ST, SUITE 150, ONTARIO, CA 91762-1121
(909) 986-0918
(909) 984-4918
Mailing address
1131 W 6TH ST, SUITE 150, ONTARIO, CA 91762-1121
(909) 986-0918
(909) 984-4918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12804
CA
152W00000X
Optometrist
6806
CA
152W00000X
Optometrist
Primary
6807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA312A
—
CA
Enumeration date
03/25/2009
Last updated
08/18/2010
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