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Organization
MILPITAS OPTOMETRIC GROUP
Active
Organization
MILPITAS OPTOMETRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN G GORDON O.D. (TREASUROR)
(408) 263-2040
Entity
Organization
Contact information
Practice address
1301 E CALAVERAS BLVD, MILPITAS, CA 95035-5543
(408) 263-2040
(408) 946-2020
Mailing address
1301 E CALAVERAS BLVD, MILPITAS, CA 95035-5543
(408) 263-2040
(408) 946-2020
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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