Organization
ENCINITAS OPTOMETRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PATRICK OWEN O. D. (PRESIDENT)
(760) 436-1877
Entity
Organization
Contact information
Practice address
681 ENCINITAS BLVD, SUITE 302, ENCINITAS, CA 92024-3762
(760) 436-1877
(760) 632-7319
Mailing address
681 ENCINITAS BLVD, SUITE 302, ENCINITAS, CA 92024-3762
(760) 436-1877
(760) 632-7319
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8966TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT8966TPA
CA LICENSE
CA
Enumeration date
08/10/2009
Last updated
08/12/2011
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