Individual
BARBARA JEAN VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2700 PARK AVENUE, TUSTIN, CA 92782
(714) 259-1530
(714) 259-1532
Mailing address
28331 LA PLUMOSA, LAGUNA NIGUEL, CA 92677-7050
(949) 400-1530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 10245 TPA
CA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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