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Organization

ADVANCED EYECARE ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRAJAN JOAQUIN SOARES O.D. (PRESIDENT)
(209) 826-1434
Entity
Organization

Contact information

Practice address
1028 6TH ST, LOS BANOS, CA 93635-4218
(209) 826-1434
Mailing address
1028 6TH ST, LOS BANOS, CA 93635-4218
(209) 826-1434

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT9569TPG
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0095690
CA
Enumeration date
02/11/2016
Last updated
02/11/2016
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