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Organization

KEDDINGTON & KALRA OPTOMETRISTS APC

Active
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Organization

KEDDINGTON & KALRA OPTOMETRISTS APC

Active
Other names
Eye Care Optometry Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANKUR KALRA O.D. (VICE PRESIDENT)
(619) 477-2159
Entity
Organization

Contact information

Practice address
1481 E PLAZA BLVD, NATIONAL CITY, CA 91950-3613
(619) 477-2159
(619) 477-2128
Mailing address
1481 E PLAZA BLVD, NATIONAL CITY, CA 91950-3613
(619) 477-2159
(619) 477-2128

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
COR1150
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GSD004450
CA
01
W19760
MEDICARE GROUP PIN
CA
Enumeration date
08/08/2006
Last updated
12/22/2009
About Stedi
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