Organization
FAMILY FIRST ICARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVON A WAGNER OPTICIAN (PRESIDENT)
(949) 922-8175
Entity
Organization
Contact information
Practice address
16498 BEACH BLVD, WESTMINSTER, CA 92683-7860
(714) 848-3937
(714) 842-5043
Mailing address
1696 NEWPORT BLVD, COSTA MESA, CA 92627-3787
(949) 922-8175
(949) 200-3767
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
CA
Other
Enumeration date
04/28/2018
Last updated
12/18/2022
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