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Organization
LARRY SIMPFENDERFER OD INC
Active
Organization
LARRY SIMPFENDERFER OD INC
Active
Other names
ADVANCED OPTOMETRY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY JAMES SIMPFENDERFER O.D. (PRESIDENT)
(209) 334-2626
Entity
Organization
Contact information
Practice address
1210 W TOKAY ST, LODI, CA 95240-3810
(209) 334-2626
(209) 334-0710
Mailing address
1210 W TOKAY ST, LODI, CA 95240-3810
(209) 334-2626
(209) 334-0710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7804TPL
CA
Other
Enumeration date
08/24/2010
Last updated
09/13/2011
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