Organization
BEBAWY OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDY AZIZ KEROLLOS BEBAWY O.D (PRESIDENT)
(909) 235-1998
Entity
Organization
Contact information
Practice address
418 AUTO CENTER DR, CLAREMONT, CA 91711-5458
(909) 621-5400
(909) 621-5411
Mailing address
418 AUTO CENTER DR, CLAREMONT, CA 91711-5458
(909) 621-5400
(909) 621-5411
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
14579TPA
CA
332H00000X
Eyewear Supplier
14579TPA
CA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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