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Organization
VISION EXPRESS OPTOMETRY
Active
Organization
VISION EXPRESS OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID S SHIN OD (OWNER)
(760) 949-6363
Entity
Organization
Contact information
Practice address
16803 VALLEY BLVD, UNIT A, FONTANA, CA 92335-9242
(909) 349-0299
(909) 474-7740
Mailing address
16803 VALLEY BLVD, UNIT A, FONTANA, CA 92335-9242
(909) 349-0299
(909) 474-7740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12779T
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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