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Organization

FAMILY OPTOMETRY OF IRVINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN KIM LEE O.D. (CO-PRESIDENT)
(714) 661-9834
Entity
Organization

Contact information

Practice address
3873 PORTOLA PKWY, IRVINE, CA 92620
(714) 730-2020
(714) 730-2023
Mailing address
3873 PORTOLA PKWY, IRVINE, CA 92620
(714) 730-2020
(714) 730-2023

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10993T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447393012
NPI
CA
01
1518000231
NPI
CA
Enumeration date
05/02/2007
Last updated
04/23/2013
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