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Organization
MANELL & COOPER OPTOMETRIST
Active
Organization
MANELL & COOPER OPTOMETRIST
Active
Other names
Manell & Cooper Optometrist
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY ONEY (OFFICE MANAGER)
(760) 745-5412
Entity
Organization
Contact information
Practice address
251 E 4TH AVE, ESCONDIDO, CA 92025-4901
(760) 745-5412
(760) 745-2752
Mailing address
251 E 4TH AVE, ESCONDIDO, CA 92025-4901
(760) 745-5412
(760) 745-2752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GDS001100
—
CA
Enumeration date
12/28/2007
Last updated
08/09/2010
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