Organization
TRI-COUNTY EYE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY L GONCIARCZYK (BILLING LEAD)
(951) 737-6363
Entity
Organization
Contact information
Practice address
1124 S MAIN ST, # 101, CORONA, CA 92882-4449
(951) 737-6363
(951) 272-6723
Mailing address
1124 S MAIN ST, # 101, CORONA, CA 92882-4449
(951) 737-6363
(951) 272-6723
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
05/04/2009
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