Organization
FAMILY FIRST ICARE, INC.
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVON ANN WAGNER (CEO)
(949) 922-8175
Entity
Organization
Contact information
Practice address
1696 NEWPORT BLVD STE D, COSTA MESA, CA 92627-3787
(949) 574-0200
Mailing address
11 DRACKERT LN, LADERA RANCH, CA 92694-1400
(949) 922-8175
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
CA
Other
Enumeration date
02/12/2018
Last updated
12/18/2022
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