Individual
DR. JOSEPH J VANSUCH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
128 E KATELLA AVE, SUITE 100, ORANGE, CA 92867-4836
(714) 997-3535
(714) 771-4870
Mailing address
315 E KATELLA AVE, ORANGE, CA 92867-4860
(714) 997-3535
(714) 771-4870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6373TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
6373TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330839978
VISION SERVICE PLAN
CA
Enumeration date
11/09/2005
Last updated
06/25/2015
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