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Organization
VISION EXPRESS OPTOMETRY, INC.
Active
Organization
VISION EXPRESS OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SUNG SHIN O.D. (OWNER)
(760) 949-6363
Entity
Organization
Contact information
Practice address
15923 BEAR VALLEY RD, SUITE B-100, HESPERIA, CA 92345-1750
(760) 949-6363
(760) 949-9249
Mailing address
15923 BEAR VALLEY ROAD, SUITE B-100, HESPERIA, CA 92345-1762
(760) 949-6363
(760) 949-9249
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12779T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848938
—
CA
Enumeration date
11/24/2008
Last updated
06/02/2011
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