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Organization
SOUTHWEST EYE CARE OPTOMETRIC CENTER, INC
Active
Organization
SOUTHWEST EYE CARE OPTOMETRIC CENTER, INC
Active
Other names
Southwest Eye Care Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANAE LEANNE VANCE OD (OWNER)
(661) 833-4040
Entity
Organization
Contact information
Practice address
4649 PLANZ RD, BAKERSFIELD, CA 93309-5900
(661) 833-4040
(661) 833-6721
Mailing address
4649 PLANZ RD, BAKERSFIELD, CA 93309-5900
(661) 833-4040
(661) 833-6721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13897T
CA
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13085TLG
STATE LICENSE
CA
01
—
1538517438
INDIVIDUAL NPI
CA
01
—
CA226582
PTAN
CA
Enumeration date
06/01/2016
Last updated
03/30/2022
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