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Organization
MIDTOWN OPTOMETRY INC.
Active
Organization
MIDTOWN OPTOMETRY INC.
Active
Other names
Midtown Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DERRON TIMOTHY LEE OD (AUTHORIZED OFFICIAL)
(209) 986-1880
Entity
Organization
Contact information
Practice address
2321 W MARCH LN STE A, STOCKTON, CA 95207-5265
(209) 986-1880
(209) 957-8077
Mailing address
2321 W MARCH LN STE A, STOCKTON, CA 95207-5265
(209) 986-1880
(209) 957-8077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12388T
CA
Other
Enumeration date
03/27/2007
Last updated
11/11/2024
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