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Organization
MI MI OPTOMETRIC CENTER,INC
Active
Organization
MI MI OPTOMETRIC CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERYN S LEE O.D. (OPTOMETRIST)
(714) 537-1313
Entity
Organization
Contact information
Practice address
9636 GARDEN GROVE BLVD, SUITE #5, GARDEN GROVE, CA 92844
(714) 537-1313
(714) 537-9180
Mailing address
9636 GARDEN GROVE BLVD, SUITE #5, GARDEN GROVE, CA 92844
(714) 537-1313
(714) 537-9180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10348T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0103480
—
CA
Enumeration date
10/20/2006
Last updated
06/25/2018
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