Organization
W JOSEPH GARVIN OD OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GARVIN OD (OWNER)
(760) 743-2020
Entity
Organization
Contact information
Practice address
147 E GRAND AVE, ESCONDIDO, CA 92025-2701
(760) 743-2020
(760) 743-2517
Mailing address
147 E GRAND AVE, ESCONDIDO, CA 92025-2701
(760) 743-2020
(760) 743-2517
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT6664TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7108719
—
CA
Enumeration date
12/02/2010
Last updated
12/07/2010
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