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Organization
HAVEN EYE INSTITUTE INC
Active
Organization
HAVEN EYE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE VELA (CONTRACTS MANAGER)
(909) 344-8934
Entity
Organization
Contact information
Practice address
9616 ARCHIBALD AVE STE 140, RANCHO CUCAMONGA, CA 91730-7943
(909) 481-0436
(909) 481-0457
Mailing address
1131 W 6TH ST STE 225, ONTARIO, CA 91762-1117
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
—
NULL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
06/23/2026
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