Organization
EYECARE SPECIALISTS MEDICAL GROUP, INC.
Active
Other names
ATLANTIS EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA MARISOL GALINDO (CREDENTIALING SUPERVISOR)
(626) 305-9100
Entity
Organization
Contact information
Practice address
1595 E 17TH ST, SANTA ANA, CA 92705-8506
(714) 984-0788
(714) 808-8950
Mailing address
1595 E 17TH ST, SANTA ANA, CA 92705-8506
(714) 399-0678
(714) 276-6489
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
11/28/2022
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