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Organization
SUN CITY VISION CLINIC
Active
Organization
SUN CITY VISION CLINIC
Active
Parent organization
SUN CITY VISION CLINIC
Other names
Sun City Vision Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN CITY VISION CLINIC
Authorized official
DR. PETER G SHAW-MC MINN O.D. (OWNER)
(951) 672-4971
Entity
Organization
Contact information
Practice address
27830 BRADLEY RD., SUN CITY, CA 92586-2201
(951) 672-4971
(951) 672-4083
Mailing address
27830 BRADLEY RD., SUN CITY, CA 92586
(951) 672-4971
(951) 672-4083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6553T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ81412Z
—
CA
Enumeration date
04/27/2007
Last updated
09/11/2008
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