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Organization

EFRAIN MASCARENO OD APC

Active
Other names
Clear Vision Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EFRAIN MASCARENO OD (PRESIDENT)
(619) 427-2020
Entity
Organization

Contact information

Practice address
440 4TH AVE, CHULA VISTA, CA 91910-4443
(619) 427-2020
(866) 254-5707
Mailing address
440 4TH AVE, CHULA VISTA, CA 91910-4443
(619) 427-2020
(866) 254-5707

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10906T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0109061
CA
Enumeration date
11/20/2006
Last updated
04/17/2013
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