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Organization
SOUTH GATE OPTOMETRY
Active
Organization
SOUTH GATE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK P MELMED OD (OPTOMETRIST)
(323) 566-6183
Entity
Organization
Contact information
Practice address
3329 TWEEDY BLVD, SOUTH GATE, CA 90280-4324
(323) 566-6183
Mailing address
3329 TWEETY BOULEVARD, SOUTH GATE, CA 90280-4396
(323) 566-6183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT4694TPA
CA
Other
Enumeration date
06/09/2008
Last updated
08/20/2008
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