Organization
DR. SKINNER OPTOMETRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LOWREY SKINNER O.D. (CEO)
(909) 822-1115
Entity
Organization
Contact information
Practice address
8275 SIERRA AVE, SUITE 103, FONTANA, CA 92335-3557
(909) 822-1115
(909) 822-6346
Mailing address
PO BOX 2200, FONTANA, CA 92334-2200
(909) 822-1115
(909) 822-6346
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9363T
CA
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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