Organization
STACY VO OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY KT VO O.D (OPTOMETRIST)
(909) 748-0400
Entity
Organization
Contact information
Practice address
1550 BARTON RD, REDLANDS, CA 92373-5456
(909) 748-0400
(909) 748-0446
Mailing address
1550 BARTON RD, REDLANDS, CA 92373-5456
(909) 748-0400
(909) 748-0446
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
12492T
CA
Other
Enumeration date
01/19/2008
Last updated
10/30/2014
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