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Organization
VENTURA EYE INSTITUTE
Active
Organization
VENTURA EYE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS RAGEN M.D. (OWNER)
(805) 388-1211
Entity
Organization
Contact information
Practice address
3801 LAS POSAS RD, SUITE 112, CAMARILLO, CA 93010-1427
(805) 388-1211
(805) 388-0900
Mailing address
3801 LAS POSAS RD, SUITE 112, CAMARILLO, CA 93010-1427
(805) 388-1211
(805) 388-0900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G58648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G586480
—
CA
Enumeration date
12/11/2006
Last updated
01/14/2010
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