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Organization
ROGER H PHELPS OD, INC.
Active
Organization
ROGER H PHELPS OD, INC.
Active
Other names
OjaiEyes Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER HAROLD PHELPS O.D. (PRESIDENT/OWNER/OPTOMETRIST)
(805) 646-2020
Entity
Organization
Contact information
Practice address
216 E MATILIJA ST, OJAI, CA 93023-2722
(805) 646-2020
(805) 646-5054
Mailing address
216 E MATILIJA ST, OJAI, CA 93023-2722
(805) 646-2020
(805) 646-5054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5196TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD003090
—
CA
05
—
YYY34585Y
—
CA
Enumeration date
07/31/2006
Last updated
08/22/2020
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