Organization
GLENN KAWAGUCHI OD INC
Active
Other names
Buenaventura Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN KEVIN KAWAGUCHI O.D. (PRESIDENT)
(805) 480-3514
Entity
Organization
Contact information
Practice address
3301 E MAIN ST, SUITE 1006, VENTURA, CA 93003-5076
(805) 650-8477
(805) 650-1682
Mailing address
3301 E MAIN ST, SUITE 1006, VENTURA, CA 93003-5076
(805) 650-8477
(805) 650-1682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9986TLG
CA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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