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Organization
MAI OPTOMETRIC GROUP
Active
Organization
MAI OPTOMETRIC GROUP
Active
Other names
Aspen Optometric Care
Organization subpart
No
Provider details
NPI number
Authorized official
VY MAI OD (CEO)
(971) 222-5869
Entity
Organization
Contact information
Practice address
1515 AURORA DR STE 201K, SAN LEANDRO, CA 94577-3105
(971) 222-5869
Mailing address
1515 AURORA DR STE 201K, SAN LEANDRO, CA 94577-3105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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