Organization
EYECENTER OPTOMETRICS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L COOPER (COMMUNICATIONS DIRECTOR)
(916) 726-1818
Entity
Organization
Contact information
Practice address
2200 SUNRISE BLVD, SUITE #120, GOLD RIVER, CA 95670-4374
(916) 852-1600
(916) 852-0231
Mailing address
5959 GREENBACK LN, SUITE # 130, CITRUS HEIGHTS, CA 95621-9562
(916) 852-1600
(916) 852-0231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
BOL6465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001121
—
CA
01
—
ZZZ50558Z
BCBS
—
Enumeration date
10/28/2009
Last updated
03/31/2014
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