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Organization
PETER W ROSS OD & LARRY K WAN OD INC
Active
Organization
PETER W ROSS OD & LARRY K WAN OD INC
Active
Other names
Family Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ROSS O.D. (OWNER)
(408) 866-2020
Entity
Organization
Contact information
Practice address
338 E HAMILTON AVE, CAMPBELL, CA 95008-0207
(408) 866-2020
(408) 370-3937
Mailing address
338 E HAMILTON AVE, CAMPBELL, CA 95008-0207
(408) 866-2020
(408) 370-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ22243Z
PTAN
CA
01
—
ZZZ64079Z
BLUE SHIELD OF CA
CA
Enumeration date
02/28/2007
Last updated
05/14/2013
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