Organization
DIABLO VALLEY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J. GOULD (ACCOUNTS RECEIVABLE)
(925) 934-6300
Entity
Organization
Contact information
Practice address
112 LA CASA VIA STE 260, WALNUT CREEK, CA 94598-3068
(925) 934-6300
Mailing address
112 LA CASA VIA STE 260, WALNUT CREEK, CA 94598-3068
(925) 934-6300
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
01/22/2008
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