Organization
EYE STUDIO OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE CHEN O.D. (PRESIDENT)
(619) 521-2020
Entity
Organization
Contact information
Practice address
4475 UNIVERSITY AVE, SAN DIEGO, CA 92105-1731
(619) 618-2954
(619) 618-2954
Mailing address
4475 UNIVERSITY AVE, SAN DIEGO, CA 92105-1731
(619) 521-2025
(619) 521-2025
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
12792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356507503
—
CA
Enumeration date
08/06/2008
Last updated
07/24/2009
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