Organization
EYECARE ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT A. PAUL O.D. (OWNER)
(909) 592-5666
Entity
Organization
Contact information
Practice address
963 W ARROW HWY, SAN DIMAS, CA 91773-2410
(909) 592-5666
(909) 394-3334
Mailing address
963 W ARROW HWY, SAN DIMAS, CA 91773-2410
(909) 592-5666
(909) 394-3334
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
OPT 9068 TPA
CA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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