Organization
WINK OPTOMETRY & EYEWEAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUNEH BAHA OD (OWNER/PRESIDENT)
(858) 755-9465
Entity
Organization
Contact information
Practice address
2673 VIA DE LA VALLE, SUITE E F, DEL MAR, CA 92014-1912
(858) 755-9465
(858) 755-9468
Mailing address
2673 VIA DE LA VALLE, SUITE E F, DEL MAR, CA 92014-1912
(858) 755-9465
(858) 755-9468
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
11596T
CA
Other
Enumeration date
03/27/2012
Last updated
05/02/2012
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