Organization
BEAR CREEK EYE CARE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL WILSON (PRACTICE MANAGER)
(951) 609-9099
Entity
Organization
Contact information
Practice address
36330 HIDDEN SPRINGS RD STE A, WILDOMAR, CA 92595-5804
(951) 609-9099
Mailing address
36330 HIDDEN SPRINGS RD STE A, WILDOMAR, CA 92595-5804
(951) 609-9099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7216142
—
CA
Enumeration date
10/20/2020
Last updated
10/20/2020
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