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Organization
SEE CLEAR OPTOMETRY A PROFESSIONAL CORPORATION
Active
Organization
SEE CLEAR OPTOMETRY A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOURICE BOUTROS OD (OWNER/PRESIDENT)
(626) 765-6634
Entity
Organization
Contact information
Practice address
3235 E COLORADO BLVD, SUITE 101, PASADENA, CA 91107
(626) 765-6634
(626) 765-6722
Mailing address
3235 E COLORADO BLVD, SUITE 101, PASADENA, CA 91107
(626) 765-6634
(626) 765-6722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
CA
Enumeration date
10/29/2019
Last updated
03/04/2020
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