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Organization

TERUO WATANABE, O.D., INC.

Active
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Organization

TERUO WATANABE, O.D., INC.

Active
Other names
PLAZA VISION OPTOMETRY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERUO WATANABE O.D. (OPTOMETRIST/PRESIDENT)
(626) 359-3937
Entity
Organization

Contact information

Practice address
525 S MYRTLE AVE STE 107, MONROVIA, CA 91016-6139
(626) 359-3937
(626) 358-5030
Mailing address
525 S MYRTLE AVE STE 107, MONROVIA, CA 91016-6139
(626) 359-3937
(626) 358-5030

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5162T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0056120
CA
Enumeration date
09/25/2006
Last updated
10/12/2012
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