Organization
EYEDENTITY VISION OPTOMETRY, INC.
Active
Organization
EYEDENTITY VISION OPTOMETRY, INC.
Active
Other names
Eyedentity Vision Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE LEE O.D. (PRESIDENT)
(415) 334-2020
Entity
Organization
Contact information
Practice address
2786 DIAMOND ST, SAN FRANCISCO, CA 94131-3057
(415) 334-2020
(415) 681-9268
Mailing address
2786 DIAMOND ST, SAN FRANCISCO, CA 94131-3057
(415) 334-2020
(415) 681-9268
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
12604
CA
Other
Enumeration date
12/09/2007
Last updated
10/11/2021
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