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Organization
MIKA E FU O D INC A CALIFORNIA PROFESSIONAL OPTOMETRIC CORPORATIO
Active
Organization
MIKA E FU O D INC A CALIFORNIA PROFESSIONAL OPTOMETRIC CORPORATIO
Active
Other names
Grand Vision Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKA E FU O.D. (PRESIDENT)
(760) 510-3130
Entity
Organization
Contact information
Practice address
151 S LAS POSAS RD, STE 171, SAN MARCOS, CA 92078-2471
(760) 510-3130
(760) 510-3131
Mailing address
151 S LAS POSAS RD, STE 171, SAN MARCOS, CA 92078-2471
(760) 510-3130
(760) 510-3131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT13304T
CA
Other
Enumeration date
11/03/2008
Last updated
06/19/2020
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