Organization
20/10 VISION CARE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN CHANG O.D. (OWNER)
(626) 296-8416
Entity
Organization
Contact information
Practice address
2212 N. LINCOLN AVE., ALTADENA, CA 91001
(626) 296-8416
(626) 389-5434
Mailing address
2212 N. LINCOLN AVE., ALTADENA, CA 91001
(626) 296-8416
(626) 389-5434
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10826T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0108260
—
CA
Enumeration date
08/07/2012
Last updated
08/07/2012
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