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Organization
EYE CARE CENTER OF NAPA VALLEY, A MEDICAL CORPORATION
Active
Organization
EYE CARE CENTER OF NAPA VALLEY, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MILLER (CREDENTIALING SPECIALIST)
(707) 963-5236
Entity
Organization
Contact information
Practice address
1287 INGLEWOOD AVE, SAINT HELENA, CA 94574-2215
(707) 963-5236
(707) 963-1492
Mailing address
895 TRANCAS ST, NAPA, CA 94558-3040
(707) 252-2020
(707) 252-0329
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790781409
—
CA
Enumeration date
02/14/2017
Last updated
02/14/2017
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