Organization
JAROM PARTRIDGE OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAROM BENNION PARTRIDGE O.D. (PRESIDENT)
(714) 282-2888
Entity
Organization
Contact information
Practice address
781 SOUTH WEIR CANYON DRIVE #195, ANAHEIM HILLS, CA 92808
(714) 282-2888
Mailing address
781 SOUTH WEIR CANYON DRIVE #195, ANAHEIM HILLS, CA 92808
(714) 282-2888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPT1543TLG
—
CA
Enumeration date
09/26/2023
Last updated
09/26/2023
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