Organization
CONNIE K HA OD, PROFESSIONAL CORPORATION
Active
Other names
San Bruno Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE HA O.D. (PRESIDENT)
(650) 588-7701
Entity
Organization
Contact information
Practice address
931 SAN BRUNO AVE W RM 4, SAN BRUNO, CA 94066-3435
(650) 588-7701
(650) 588-7797
Mailing address
931 SAN BRUNO AVE W RM 4, SAN BRUNO, CA 94066-3435
(650) 588-7701
(650) 588-7797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11141
CA
Other
Enumeration date
06/12/2012
Last updated
03/25/2013
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