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Organization
PACIFIC OPTOMETRY GROUP
Active
Organization
PACIFIC OPTOMETRY GROUP
Active
Parent organization
PACIFIC OPTOMETRY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC OPTOMETRY GROUP
Authorized official
DR. SALLY H DANG OD (OWNER)
(714) 775-7045
Entity
Organization
Contact information
Practice address
9600 BOLSA AVE, SUITE C & H, WESTMINSTER, CA 92683-5949
(714) 775-7045
(714) 775-7050
Mailing address
9600 BOLSA AVE, SUITE C & H, WESTMINSTER, CA 92683-5949
(714) 775-7045
(714) 775-7050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11249T
CA
152WC0802X
Corneal and Contact Management Optometrist
11249T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
11249T
CA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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