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Organization

EYESMILE OPTOMETRY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MYHANH T TRAN O.D (PRESIDENT)
(310) 518-7016
Entity
Organization

Contact information

Practice address
1752 E CARSON ST, CARSON, CA 90745-2506
(310) 518-7016
(310) 518-7058
Mailing address
1752 E CARSON ST, CARSON, CA 90745-2506
(310) 518-7016
(310) 518-7058

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12011T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0120110
CA
Enumeration date
04/10/2007
Last updated
04/19/2011
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