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Organization
VALLEY OPTOMETRY EYECARE CENTER, INC.
Active
Organization
VALLEY OPTOMETRY EYECARE CENTER, INC.
Active
Other names
Valley Optometry Eyecare, Valley Optometry Eyecare of Reseda
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY KONGSAKUL OD (DIRECTOR)
(818) 774-2020
Entity
Organization
Contact information
Practice address
19636 SHERMAN WAY, RESEDA, CA 91335
(818) 774-2020
(818) 774-2021
Mailing address
19636 SHERMAN WAY, RESEDA, CA 91335
(818) 774-2020
(818) 774-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 13639T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649400920
—
CA
Enumeration date
07/21/2009
Last updated
05/21/2025
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