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Organization
VAN HOOSE OPTOMETRIC CORPORATION
Active
Organization
VAN HOOSE OPTOMETRIC CORPORATION
Active
Other names
Van Hoose Optometric Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MARC VAN HOOSE O.D. (PRESIDENT)
(760) 560-7501
Entity
Organization
Contact information
Practice address
7246 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111-1007
(858) 292-7193
(858) 292-8247
Mailing address
PO BOX 175, RANCHO SANTA FE, CA 92067-0175
(760) 560-7501
(858) 292-8247
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0126670
—
CA
Enumeration date
11/01/2021
Last updated
11/01/2021
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