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Organization
ROBERT L EVANS OD &MARILYN A CARTER OD A PROFESSIONAL CORP
Active
Organization
ROBERT L EVANS OD &MARILYN A CARTER OD A PROFESSIONAL CORP
Active
Parent organization
ROBERT L EVANS OD & MARILYN A CARTER OD A PROFESSIONAL CORP.
Other names
ROBERT L EVANS OD & MARILYN A CARTER OD A PROFESSIONAL CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT L EVANS OD & MARILYN A CARTER OD A PROFESSIONAL CORP.
Authorized official
DR. ROBERT LEE EVANS. OD. OD. (OWNER)
(619) 422-5361
Entity
Organization
Contact information
Practice address
330 OXFORD ST, SUITE 206, CHULA VISTA, CA 91911-3117
(619) 422-5361
(619) 422-7021
Mailing address
510 S MAGNOLIA AVE, DR ROBERT L. EVANS. MARILYN A. CARTER OD., EL CAJON, CA 92020-6011
(619) 444-9012
(619) 444-0232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP4834
CA
152W00000X
Optometrist
Primary
OPT4790 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861461972
—
CA
Enumeration date
02/25/2010
Last updated
03/09/2015
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