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Organization
PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE
Active
Organization
PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SAGE HIDER O.D. (PARTNER OPTOMETRIST)
(805) 466-3777
Entity
Organization
Contact information
Practice address
7605 MORRO RD, ATASCADERO, CA 93422-4433
(805) 466-3777
(805) 466-3700
Mailing address
7605 MORRO RD, ATASCADERO, CA 93422-4433
(805) 466-3777
(805) 466-3700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10330
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD1699
RAILROAD MEDICARE
CA
05
—
GSD000530-9
—
CA
Enumeration date
12/01/2006
Last updated
04/27/2015
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