Organization
IMPERIAL VALLEY OPTOMETRIC CORPORATION
Active
Other names
Optom-Eyes Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LIN (PRESIDENT)
(619) 295-2900
Entity
Organization
Contact information
Practice address
1555 PALM AVE STE A2, SAN DIEGO, CA 92154-1012
(619) 972-0220
Mailing address
1555 PALM AVE STE A2, SAN DIEGO, CA 92154-1012
(619) 972-0220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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