Organization
EYE CLUB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TOM OD (OPTOMETRIST)
(408) 226-8666
Entity
Organization
Contact information
Practice address
874C BLOSSOM HILL RD, SAN JOSE, CA 95123-2725
(408) 226-8666
(408) 226-2382
Mailing address
874C BLOSSOM HILL RD, SAN JOSE, CA 95123-2725
(408) 226-8666
(408) 226-2382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9372T
CA
Other
Enumeration date
08/11/2009
Last updated
10/19/2012
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