# THE EYELID DOC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265986699
- **Authorized official:** DR. JOSEPH CHANG MD (PRESIDENT)
- **Authorized official phone:** 661325393937

## Contact information

- **Practice address:** 5901 ENCINA RD STE C3, GOLETA, CA 93117-2272
- **Practice address phone:** (805) 565-5700
- **Mailing address:** PO BOX 20831, BAKERSFIELD, CA 93390-0831
- **Mailing address phone:** (661) 325-3937
- **Mailing address fax:** (661) 283-3937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A29218 | CA | Yes |

## Other

- **Enumeration date:** 08/15/2016
- **Last updated:** 08/15/2016