Individual
CHARLES E DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21098 BAKE PKWY, SUITE 110, LAKE FOREST, CA 92630-2163
(949) 597-0104
Mailing address
21098 BAKE PKWY, SUITE 110, LAKE FOREST, CA 92630-2163
(949) 597-0104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 12292 TPA
CA
Other
Enumeration date
07/13/2006
Last updated
10/15/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us