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Organization
SAN CLEMENTE OPTOMETRY CORP
Active
Organization
SAN CLEMENTE OPTOMETRY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J NOTA O.D. (PRESIDENT)
(949) 492-2029
Entity
Organization
Contact information
Practice address
224 AVENIDA DEL MAR, SUITE A, SAN CLEMENTE, CA 92672-4011
(949) 492-2029
(949) 492-0049
Mailing address
224 AVENIDA DEL MAR, SUITE A, SAN CLEMENTE, CA 92672-4011
(949) 492-2029
(949) 492-0049
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10391T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0103910
—
CA
Enumeration date
09/15/2010
Last updated
04/18/2011
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