Organization
VISTA VISION CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS JACOBE (DIRECTOR OF SURGERY)
(805) 987-5300
Entity
Organization
Contact information
Practice address
1821 E DAILY DR, CAMARILLO, CA 93010-6201
(805) 987-5300
(805) 987-5330
Mailing address
1821 E DAILY DR, CAMARILLO, CA 93010-6201
(805) 987-5300
(805) 987-5330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
CA
Other
Enumeration date
01/09/2012
Last updated
03/14/2012
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