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Organization
PRECISION EYE CARE, A MEDICAL CORP CLINIC
Active
Organization
PRECISION EYE CARE, A MEDICAL CORP CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON JAMES MONTGOMERY M.D. (PROPRIETOR)
(619) 472-1010
Entity
Organization
Contact information
Practice address
655 EUCLID AVE, SUITE 302, NATIONAL CITY, CA 91950-2957
(619) 472-1010
(619) 472-2092
Mailing address
PO BOX 81187, SAN DIEGO, CA 92138-1187
(619) 472-1010
(619) 472-2092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G31591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0648000001
CIGNA-DURABLE EQUIP
CA
05
—
GR0057790
—
CA
01
—
GSD0001350
MEDI-CAL OPTICAL
CA
Enumeration date
08/13/2006
Last updated
09/10/2015
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