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Organization
SHADOWRIDGE FAMILY VISION CENTER OF OPTOMETRY, INC
Active
Organization
SHADOWRIDGE FAMILY VISION CENTER OF OPTOMETRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN DEMLINGER OD (OWNER)
(760) 727-1844
Entity
Organization
Contact information
Practice address
741 SHADOWRIDGE DR, VISTA, CA 92083-7997
(760) 727-1844
(760) 727-3044
Mailing address
741 SHADOWRIDGE DR, VISTA, CA 92083-7997
(760) 727-1844
(760) 727-3044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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