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Organization
ORINDA OPTOMETRY GROUP, INC
Active
Organization
ORINDA OPTOMETRY GROUP, INC
Active
Other names
Orinda Optometry Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE M ENG O.D. (OWNER)
(925) 253-1320
Entity
Organization
Contact information
Practice address
20 ORINDA WAY, ORINDA, CA 94563-2519
(925) 253-1320
(925) 253-1939
Mailing address
20 ORINDA WAY, ORINDA, CA 94563-2519
(925) 253-1320
(925) 253-1939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12019T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487843652
GROUP NPI
CA
05
—
1487843652
—
CA
01
—
1811997828
INDIVIDUAL NPI
CA
01
—
BA710Z
PTAN
CA
Enumeration date
10/23/2007
Last updated
08/03/2011
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