Organization
CHOICE VISION OPTOMETRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY ETSURO KIKUNAGA O.D. (OWNER)
(619) 397-7070
Entity
Organization
Contact information
Practice address
2334 PROCTOR VALLEY RD, 105, CHULA VISTA, CA 91914-6006
(619) 397-7070
Mailing address
2334 PROCTOR VALLEY RD, 105, CHULA VISTA, CA 91914-6006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13186T
CA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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