Organization
EYES ON GRACE
Active
Other names
SITE FOR SORE EYES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRYNHOL KATHLEEN HOLSWORTH (OWNER)
(510) 276-6000
Entity
Organization
Contact information
Practice address
15100 HESPERIAN BLVD STE 120, SAN LEANDRO, CA 94578-3638
(510) 276-6000
(510) 317-0306
Mailing address
15100 HESPERIAN BLVD STE 120, SAN LEANDRO, CA 94578-3638
(510) 276-6000
(510) 317-0306
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D7111
CA
Other
Enumeration date
05/07/2007
Last updated
07/10/2008
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