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Organization
LOS ALTOS OPTOMETRIC GROUP, INC.
Active
Organization
LOS ALTOS OPTOMETRIC GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PESNER O.D. (PRESIDENT)
(650) 948-3700
Entity
Organization
Contact information
Practice address
133 2ND ST, LOS ALTOS, CA 94022-2745
(650) 948-3700
(650) 941-9980
Mailing address
133 2ND ST, LOS ALTOS, CA 94022-2745
(650) 948-3700
(650) 941-9980
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05315T
CA
Other
Enumeration date
09/26/2005
Last updated
09/08/2008
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