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Organization
ENVISION EYE, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
ENVISION EYE, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Associated Eye Surgeons Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADMA NANDURI M.D., F.A.C.S. (PRESIDENT)
(858) 450-1010
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, SUITE 406, LA JOLLA, CA 92037-1223
(858) 450-1010
(858) 450-9451
Mailing address
9834 GENESEE AVE, SUITE 406, LA JOLLA, CA 92037-1223
(858) 450-1010
(858) 450-9451
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
02/15/2008
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