Organization
DR. DOUGLAS T. MUNROE, AN OPTOMETRIST CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS T. MUNROE OD (OPTOMETRIST)
(951) 737-3881
Entity
Organization
Contact information
Practice address
464 S. CORONA MALL, CORONA, CA 92879-1418
(951) 737-3881
(951) 737-1530
Mailing address
464 S. CORONA MALL, CORONA, CA 92879-1418
(951) 737-3881
(951) 737-1530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6298T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06541
MEDICAL EYE SERVICES
CA
01
—
11144
INLAND EMPIRE HEALTH PLAN
CA
01
—
211433
EYE MED VISION CARE
CA
01
—
46237
HEALTH NET HMO
CA
01
—
48690
HEALTH NET PPO
CA
05
—
6100714
—
CA
Enumeration date
01/04/2007
Last updated
06/20/2008
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