Organization
JOHN E BOKOSKY MD FACS INC
Active
Other names
Eyecare of San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E BOKOSKY MD (OWNER)
(619) 243-0629
Entity
Organization
Contact information
Practice address
3939 3RD AVE, SAN DIEGO, CA 92103-3002
(619) 296-8525
(619) 692-0229
Mailing address
3939 3RD AVE, SAN DIEGO, CA 92103-3002
(619) 296-8525
(619) 692-0229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092690
—
CA
Enumeration date
12/29/2005
Last updated
06/20/2008
Update your record
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