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Organization

FAMILY EYE CARE OPTOMETRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA MARIE DAVIS (OPTOMETRIC TECH)
(559) 924-4417
Entity
Organization

Contact information

Practice address
162 W D ST, LEMOORE, CA 93245-2938
(559) 924-4417
(559) 924-3942
Mailing address
162 W D ST, LEMOORE, CA 93245-2938
(559) 924-4417
(559) 924-3942

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10197TG
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699782516
CA
Enumeration date
12/28/2016
Last updated
12/28/2016
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