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Organization
KEDDINGTON & KALRA OPTOMETRISTS APC
Active
Organization
KEDDINGTON & KALRA OPTOMETRISTS APC
Active
Other names
Eye Care Optometry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKUR KALRA O.D. (VICE PRESIDENT)
(619) 466-9444
Entity
Organization
Contact information
Practice address
687 SWEETWATER RD, SPRING VALLEY, CA 91977-5628
(619) 466-9444
(619) 466-9314
Mailing address
687 SWEETWATER RD, SPRING VALLEY, CA 91977-5628
(619) 466-9444
(619) 466-9314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
BOL6525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD004451
—
CA
01
—
W19760
MEDICARE GOUP PIN
CA
Enumeration date
02/20/2007
Last updated
12/22/2009
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