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Organization
THE EYE SHOP
Active
Organization
THE EYE SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA J. AHN O.D. (OWNER)
(626) 446-3937
Entity
Organization
Contact information
Practice address
288 E LIVE OAK AVE, UNIT D, ARCADIA, CA 91006-5629
(310) 221-1166
Mailing address
2308 HARNEY ST, VANCOUVER, WA 98660-2455
(626) 446-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12762T
CA
Other
Enumeration date
06/29/2009
Last updated
01/04/2019
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