Organization
AMEDCO CALIFORNIA INC
Active
Other names
Optical World Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GALEN GRAYSON M.D. (MEDICAL DIRECTOR)
(704) 295-0001
Entity
Organization
Contact information
Practice address
1054 SANTA ROSA PLZ, SANTA ROSA, CA 95401-6345
(707) 544-3000
(707) 544-7348
Mailing address
1054 SANTA ROSA PLZ, SANTA ROSA, CA 95401-6345
(707) 544-3000
(707) 544-7348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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