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Organization
SUPERVISION OPTOMETRY INC
Active
Organization
SUPERVISION OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIEH JU LEE OD (PRESIDENT)
(626) 962-2839
Entity
Organization
Contact information
Practice address
1200 S SUNSET AVE, SUITE #1, WEST COVINA, CA 91790-3903
(626) 962-2839
(626) 962-1819
Mailing address
1200 S SUNSET AVE, SUITE #1, WEST COVINA, CA 91790-3903
(626) 962-2839
(626) 962-1819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA13182T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0131820
—
CA
Enumeration date
04/08/2008
Last updated
04/08/2008
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