Organization
JARED HAGAN OPTOMETRY
Active
Other names
Fashion Valley Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED HAGAN O.D. (OPTOMETRIST)
(858) 876-7456
Entity
Organization
Contact information
Practice address
5929 MILDRED ST, SAN DIEGO, CA 92110-1422
(858) 876-7456
(888) 723-8436
Mailing address
7007 FRIARS RD STE 667A, SAN DIEGO, CA 92108-1148
(858) 876-7456
(888) 723-8436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT14385TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT14385TLG
CALIFORNIA OPTOMETRY LICENSE
CA
Enumeration date
02/25/2014
Last updated
02/25/2014
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