Individual
TERRY AGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.O.
Contact information
Practice address
889 OAK PARK BLVD, PISMO BEACH, CA 93449-3293
(805) 481-9797
(805) 481-1429
Mailing address
889 OAK PARK BLVD, PISMO BEACH, CA 93449-3293
(805) 481-9797
(805) 481-1429
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL1015
CA
Other
Enumeration date
05/17/2007
Last updated
02/17/2023
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