Organization
EAST BAY VISION CENTER OPTOMETRY INC
Active
Parent organization
EAST BAY VISION CENTER OPTOMETRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST BAY VISION CENTER OPTOMETRY
Authorized official
DR. EILEEN LO O.D. (MEDICAL DIRECTOR)
(510) 268-9600
Entity
Organization
Contact information
Practice address
388 9TH ST STE 157, OAKLAND, CA 94607-4290
(510) 268-9600
Mailing address
388 9TH ST STE 157, OAKLAND, CA 94607-4290
(510) 268-9600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8533T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0085331
—
CA
Enumeration date
02/05/2007
Last updated
02/28/2011
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