Organization
IMPERIAL VALLEY OPTOMETRIC CORPORATION
Active
Other names
Sunglass and Optical Warehouse
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN YOUNG (PRACTICE RELATIONS MANAGER)
(309) 416-0857
Entity
Organization
Contact information
Practice address
3450 KURTZ ST STE D, SAN DIEGO, CA 92110-4451
(619) 291-4810
Mailing address
3450 KURTZ ST STE D, SAN DIEGO, CA 92110-4451
(619) 291-4810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
11/24/2025
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