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Organization

GATEWAY VILLAGE OPTOMETRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICK ABELSON O.D. (CEO)
(949) 545-0257
Entity
Organization

Contact information

Practice address
806 AVENIDA PICO, STE. H, SAN CLEMENTE, CA 92673-5639
(949) 545-0257
(949) 498-8238
Mailing address
806 AVENIDA PICO, STE. H, SAN CLEMENTE, CA 92673-5639
(949) 545-0257
(949) 498-8238

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
04/22/2019
Last updated
04/22/2019
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