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Organization
WADA OPTOMETRY, INC.
Active
Organization
WADA OPTOMETRY, INC.
Active
Other names
Wada Optometry, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT SCOTT WADA OD (OPTOMETRIST)
(714) 533-2525
Entity
Organization
Contact information
Practice address
936 S BROOKHURST ST, ANAHEIM, CA 92804-4305
(714) 533-2525
(714) 242-9564
Mailing address
936 S BROOKHURST ST, ANAHEIM, CA 92804-4305
(714) 533-2525
(714) 242-9564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10097T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD010097
—
CA
Enumeration date
03/30/2007
Last updated
02/24/2010
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