Organization
TICE VALLEY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S POWELL RDO (OWNER/OPTICIAN)
(925) 935-6650
Entity
Organization
Contact information
Practice address
1988 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2203
(925) 935-6650
(925) 935-6686
Mailing address
1988 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2203
(925) 935-6650
(925) 935-6686
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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