Organization
CAMPBELL OPTOMETRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY GOULD (OFFICE MANANGER)
(408) 378-4661
Entity
Organization
Contact information
Practice address
621 E CAMPBELL AVE STE 11B, CAMPBELL, CA 95008-2136
(408) 378-4661
(408) 378-6160
Mailing address
621 E CAMPBELL AVE STE 11B, CAMPBELL, CA 95008-2136
(408) 378-4661
(408) 378-6160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5902T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY49157Y
—
CA
Enumeration date
10/22/2008
Last updated
10/23/2008
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