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Organization
M LANGFORD OD OPTOMETRIC CORPORATION
Active
Organization
M LANGFORD OD OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE LANGFORD O.D. (PRESIDENT)
(317) 760-8348
Entity
Organization
Contact information
Practice address
4310 GENESEE AVE STE 101, SAN DIEGO, CA 92117-4936
(858) 560-5181
(858) 560-1926
Mailing address
4310 GENESEE AVE STE 101, SAN DIEGO, CA 92117-4936
(858) 560-5181
(858) 560-1926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14061
OD LICENSE
CA
Enumeration date
06/11/2021
Last updated
06/11/2021
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