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Organization
ML OPTOMETRY INC
Active
Organization
ML OPTOMETRY INC
Active
Other names
Menifee Lakes Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS WALWORTH O.D. (PRESIDENT/ OPTOMETRIST)
(951) 679-6910
Entity
Organization
Contact information
Practice address
30141 ANTELOPE RD STE G, MENIFEE, CA 92584-8066
(951) 679-6910
(951) 679-7452
Mailing address
30141 ANTELOPE RD STE G, MENIFEE, CA 92584-8066
(951) 679-6910
(951) 679-7452
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13632
CA
Other
Enumeration date
08/10/2016
Last updated
09/20/2019
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