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Organization
PHOENIX OPTOMETRY GROUP INC
Active
Organization
PHOENIX OPTOMETRY GROUP INC
Active
Other names
Phoenix Optometry Group Inc's eyepad
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON VILLEGAS III O.D. (OWNER/DOCTOR)
(562) 567-7646
Entity
Organization
Contact information
Practice address
19151 BLOOMFIELD AVE, CERRITOS, CA 90703-7104
(562) 567-7646
Mailing address
12455 CEDARCREEK LN, CERRITOS, CA 90703-2028
(562) 567-7646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 11011 TPA
CA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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