Organization
FAMILY OPTOMETRY OF TRACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNA MARIE SHELLEY OD (OWNER)
(209) 229-8611
Entity
Organization
Contact information
Practice address
2104 W GRANT LINE RD, TRACY, CA 95377-7309
(209) 229-8611
(209) 229-8559
Mailing address
2104 W GRANT LINE RD, TRACY, CA 95377-7309
(209) 229-8611
(209) 229-8559
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
13351 TPL
CA
Other
Enumeration date
07/19/2010
Last updated
11/02/2010
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