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Organization
SUN CITY VISION CLINIC OPTOMETRY
Active
Organization
SUN CITY VISION CLINIC OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYSLE SHAW-MCMINN O.D. (OWNER/OPTOMETRIST)
(951) 990-7765
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 92586-2201
(951) 672-4971
(951) 672-4083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT15133
CA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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