Organization
EYEXAM OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDI MCMICHAEL O.D. (OPTOMETRIST)
(617) 866-7582
Entity
Organization
Contact information
Practice address
496 PLAZA DR, WEST COVINA, CA 91790-2854
(626) 814-4681
Mailing address
496 PLAZA DR, WEST COVINA, CA 91790-2854
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
15144TLG
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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