Organization
CHILDREN'S EYE INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE MARSHALL SIEGEL M.D. (PRESIDENT)
(909) 931-9675
Entity
Organization
Contact information
Practice address
1246 E ARROW HWY, SUITE A, UPLAND, CA 91786-4955
(909) 931-9675
(909) 931-3239
Mailing address
1246 E ARROW HWY, SUITE A, UPLAND, CA 91786-4955
(909) 931-9675
(909) 931-3239
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0096060
—
CA
05
—
GR0096061
—
CA
05
—
GR0096062
—
CA
Enumeration date
08/10/2006
Last updated
08/21/2023
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