Organization
BONITA POINT FAMILY OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LUTHER MASON OD (PRESIDENT)
(619) 267-9900
Entity
Organization
Contact information
Practice address
180 OTAY LAKES RD, SUITE 201, BONITA, CA 91902-2443
(619) 267-9900
(619) 267-9910
Mailing address
180 OTAY LAKES RD, SUITE 201, BONITA, CA 91902-2443
(619) 267-9900
(619) 267-9910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7989TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841208840
NPI
CA
01
—
1841406394
NPI
—
05
—
SD0079890
—
CA
Enumeration date
06/15/2007
Last updated
10/09/2012
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