Organization
DAVID R. KING, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA CAUDILLO (OFFICE MANAGER)
(559) 896-3937
Entity
Organization
Contact information
Practice address
1046 WHITLEY AVE, CORCORAN, CA 93212-2324
(559) 992-3400
Mailing address
2020 HIGH ST STE I, 2020 HIGH STREET STE. I, SELMA, CA 93662-3518
(559) 896-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10350TPLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7560040
—
CA
Enumeration date
05/02/2014
Last updated
07/25/2014
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