Organization
GOLDEN TRIANGLE OPTOMETRICS
Active
Other names
Jonathan Geller, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN GELLER (DIRECTOR)
(951) 698-4575
Entity
Organization
Contact information
Practice address
25460 MEDICAL CENTER DR, STE. 103, MURRIETA, CA 92562-5985
(951) 698-4575
Mailing address
25460 MEDICAL CENTER DR, STE. 103, MURRIETA, CA 92562-5985
(951) 698-4575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7468T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0074680
PERSONAL ID NUMBER
CA
Enumeration date
02/22/2007
Last updated
07/08/2008
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