Organization
HERITAGE VALLEY EYE CARE OPTOMETRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON M LUEKENGA OD (PRESIDENT)
(805) 525-6603
Entity
Organization
Contact information
Practice address
414 CENTRAL AVE, FILLMORE, CA 93015-1330
(805) 524-2552
(805) 524-2558
Mailing address
414 CENTRAL AVE, FILLMORE, CA 93015-1330
(805) 524-2552
(805) 524-2558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000081
—
CA
Enumeration date
12/19/2006
Last updated
07/07/2015
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