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Organization
TWO OPTOMETRY,INC.
Active
Organization
TWO OPTOMETRY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINTAU TWO O.D. (PRESIDENT)
(760) 666-2612
Entity
Organization
Contact information
Practice address
15888 MAIN ST STE 112A, CA, HESPERIA, CA 92345-3467
(760) 949-2242
Mailing address
5275 VISTA BLVD, A-3, SPARKS, NV 89436-5318
(760) 666-2612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8606T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0086061
—
CA
Enumeration date
08/26/2014
Last updated
08/26/2014
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