Organization
AMAAL ODISH OD INC
Active
Other names
Advanced Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMAAL ODISH OD (CEO DOCTOR OF OPTOMETRY)
(619) 447-1139
Entity
Organization
Contact information
Practice address
844 E WASHINGTON AVE, EL CAJON, CA 92020
(619) 447-1139
(619) 447-6239
Mailing address
844 EAST WASHINGTON AVE, EL CAJON, CA 92020
(619) 447-1139
(619) 447-6239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11379TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA1379
EYEMED
CA
05
—
SD0113790
—
CA
Enumeration date
01/30/2006
Last updated
05/06/2010
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