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Organization
VISION FOR LIFE OPTOMETRY, INC.
Active
Organization
VISION FOR LIFE OPTOMETRY, INC.
Active
Other names
Woodcrest Vision Center Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA SHAW MCMINN KASHAK (OWNER/ PRESIDENT)
(951) 780-0270
Entity
Organization
Contact information
Practice address
17675 VAN BUREN BLVD, SUITE C, RIVERSIDE, CA 92504-6084
(951) 780-0270
Mailing address
17675 VAN BUREN BLVD, SUITE C, RIVERSIDE, CA 92504-6084
(951) 780-0270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA13879T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7362840
—
CA
Enumeration date
08/07/2015
Last updated
08/07/2015
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