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Organization

DR. CAREY B. POULTNEY, O.D., A PROFESSIONAL OPTOMETRIC CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAREY B. POULTNEY O.D. (OPTOMETRIST/OWNER)
(805) 794-9862
Entity
Organization

Contact information

Practice address
4200 E MAIN ST, VENTURA, CA 93003-5230
(805) 650-7221
(805) 644-7385
Mailing address
708 DALY RD, OJAI, CA 93023-1936
(805) 794-9862

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
U91943
CA
Enumeration date
02/22/2022
Last updated
02/22/2022
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