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Organization
MENIFEE VALLEY OPTOMETRY PC
Active
Organization
MENIFEE VALLEY OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M. FENNEMA O.D. (OWNER)
(951) 679-0545
Entity
Organization
Contact information
Practice address
27168 NEWPORT RD, SUITE 4, MENIFEE, CA 92584-7383
(951) 679-0545
(951) 679-6154
Mailing address
27168 NEWPORT RD., SUITE 4, MENIFEE, CA 92584-6526
(951) 679-0545
(951) 679-6154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8225TLG
CA
Other
Enumeration date
09/27/2012
Last updated
10/27/2016
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