Organization
GAGNON VISION MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI GAGNON M.A. (CEO)
(925) 822-8776
Entity
Organization
Contact information
Practice address
28 FENTON ST, LIVERMORE, CA 94550-4144
(925) 449-4000
Mailing address
5575 W LAS POSITAS BLVD, SUITE 240, PLEASANTON, CA 94588-5801
(925) 460-5000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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