Organization
ADVANCED OPTOMETRIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDIE J MEDINA OD (OWNER)
(209) 628-0110
Entity
Organization
Contact information
Practice address
1208 FLOYD AVE BLDG C, MODESTO, CA 95350-2470
(209) 521-7771
Mailing address
5942 ARENA WAY, LIVINGSTON, CA 95334-9314
(209) 628-0110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
05/06/2019
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