Organization
CHICO VISION CARE OPTOMETRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBBIE PENNINGTON O.D. (PARTNER)
(530) 342-9644
Entity
Organization
Contact information
Practice address
2109 FOREST AVE, SUITE 50, CHICO, CA 95928-7680
(530) 342-9644
(530) 342-7547
Mailing address
2109 FOREST AVE, SUITE 50, CHICO, CA 95928-7680
(530) 342-9644
(530) 342-7547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 5613 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116313
EYEMED
CA
01
—
46196
SAFEGUARD
CA
01
—
CV07521
SPECTERA
CA
05
—
SD0056130
—
CA
05
—
SD0060770
—
CA
Enumeration date
12/19/2005
Last updated
06/05/2020
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