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Organization
VISUALLY SOUND OPTOMETRY
Active
Organization
VISUALLY SOUND OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA VAVRICEK O.D. (OWNER)
(916) 985-6399
Entity
Organization
Contact information
Practice address
410 PALLADIO PKWY, 1625, FOLSOM, CA 95630-8828
(916) 985-6399
(916) 985-0601
Mailing address
2920 COLD SPRINGS RD STE B, PLACERVILLE, CA 95667-4236
(530) 626-7460
(916) 985-0601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5233TPA
CA
Other
Enumeration date
05/04/2017
Last updated
09/19/2018
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