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Organization
RALPH E SCHROCK OPTOMETRIC CORPORATION
Active
Organization
RALPH E SCHROCK OPTOMETRIC CORPORATION
Active
Other names
Optometric Vision Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE ANTHONY VALENTI OD (OWNER OPTOMETRIST)
(858) 453-0442
Entity
Organization
Contact information
Practice address
8950 VILLA LA JOLLA DRIVE, B128, LA JOLLA, CA 92037-1705
(858) 453-0442
(858) 453-5291
Mailing address
8950 VILLA LA JOLLA DRIVE, B128, LA JOLLA, CA 92037-1705
(858) 453-0442
(858) 453-5291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W0P7608A
MEDICARE PPIN PROVIDER GR
—
Enumeration date
12/04/2006
Last updated
03/19/2008
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