Organization
EAST BAY VISION CENTER OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN LO (PRESIDENT)
(510) 268-9600
Entity
Organization
Contact information
Practice address
388 9TH ST STE 157, OAKLAND, CA 94607
(510) 268-9600
(510) 268-1608
Mailing address
388 9TH ST STE 157, OAKLAND, CA 94607-4290
(510) 268-9600
(510) 268-1608
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA 0085330T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD004760
—
CA
Enumeration date
07/10/2006
Last updated
07/18/2018
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