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Organization
LA MESA VISION CARE CENTER OPTOMETRY
Active
Organization
LA MESA VISION CARE CENTER OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M HIXSON O.D. (OWNER)
(619) 466-5665
Entity
Organization
Contact information
Practice address
8007 LA MESA BLVD, LA MESA, CA 91941-6434
(619) 466-5665
(619) 466-5688
Mailing address
8007 LA MESA BLVD, LA MESA, CA 91941-6434
(619) 466-5665
(619) 466-5688
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 7490 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0074900
—
CA
05
—
SD0113620
—
CA
Enumeration date
09/14/2007
Last updated
01/02/2009
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