Individual
DR. ALEXANDER TYLER ELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17300 17TH ST, #M, TUSTIN, CA 92780-1955
(714) 838-9664
Mailing address
39 TAROCCO, IRVINE, CA 92618-0304
(949) 338-7027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33390
CA
152WC0802X
Corneal and Contact Management Optometrist
33390
CA
152WP0200X
Pediatric Optometrist
33390
CA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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