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Organization

TERILYN THACH, INC

Active
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Organization

TERILYN THACH, INC

Active
Other names
Insight Vision Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERILYN THACH O.D. (PRESIDENT/OWNER)
(760) 738-9931
Entity
Organization

Contact information

Practice address
2419 E VALLEY PKWY, ESCONDIDO, CA 92027-2932
(760) 738-9931
(760) 738-9933
Mailing address
2419 E VALLEY PKWY, ESCONDIDO, CA 92027-2932
(760) 738-9931
(760) 738-9933

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11456
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1593639
—
CA
Enumeration date
11/23/2010
Last updated
07/18/2011
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