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Organization
EMPIRE EYE AND LASER CENTER INC
Active
Organization
EMPIRE EYE AND LASER CENTER INC
Active
Other names
Empire Eye and Laser Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY SPARKS (BILLING MGR)
(661) 869-2600
Entity
Organization
Contact information
Practice address
4101 EMPIRE DR, SUITE 120, BAKERSFIELD, CA 93309-0681
(661) 325-3937
(661) 283-3937
Mailing address
4101 EMPIRE DR, SUITE 120, BAKERSFIELD, CA 93309-0681
(661) 325-3937
(661) 283-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
Z18298
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089910
—
CA
Enumeration date
10/24/2006
Last updated
02/11/2013
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