Organization
EYEMAX OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY METSOVAS O.D. (OWNER/ PRESIDENT)
(714) 637-9999
Entity
Organization
Contact information
Practice address
2097 N TUSTIN ST, ORANGE, CA 92865-3901
(714) 637-9999
(714) 637-9993
Mailing address
2097 N TUSTIN ST, ORANGE, CA 92865-3901
(714) 637-9999
(714) 637-9993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10460T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13607
MEDICAL EYE SERVICES
CA
01
—
207199
EYEMED
CA
01
—
5302020001
MEDICARE DEMERC
CA
01
—
61327
SAFEGUARD PPO
CA
01
—
61328
SAFEGUARD HMO
CA
01
—
9358503
PRIVATE HEALTHCARE SYSTEM
CA
01
—
CA10460
VISION BENEFITS OF AMERIC
CA
01
—
M134935
INTEGRATED HEALTHPLAN
CA
01
—
SD0104600
CAL-OPTIMA
CA
05
—
SD0104600
—
CA
01
—
SD01046T1
BLUE SHIELD
CA
Enumeration date
10/16/2007
Last updated
04/24/2013
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