Individual
ALLISON ELIZABETH SHOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
427 E 17TH ST STE C, COSTA MESA, CA 92627-3201
(949) 642-2929
Mailing address
408 E JEANETTE LN, SANTA ANA, CA 92705-6017
(562) 309-1080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34740TLG
CA
Other
Enumeration date
03/19/2020
Last updated
09/02/2025
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