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Organization
SUNRISE OPTOMETRY INC
Active
Organization
SUNRISE OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINNIE TIEU (OPTOMETRIST)
(951) 681-2816
Entity
Organization
Contact information
Practice address
12435 LIMONITE AVE, SUITE 560, EASTVALE, CA 91752-2455
(951) 681-2816
(951) 685-6866
Mailing address
12435 LIMONITE AVE, SUITE 560, EASTVALE, CA 91752-2455
(951) 681-2816
(951) 685-6866
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11758T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0117580
—
CA
Enumeration date
05/20/2014
Last updated
05/20/2014
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