Individual
GARRICK T SIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
324 S KALMIA STREET, ESCONDIDO, CA 92025
(760) 741-7497
(760) 741-7729
Mailing address
324 S KALMIA STREET, ESCONDIDO, CA 92025
(760) 741-7497
(760) 741-7729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10419T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117500
EYE MED VISION CARE
CA
01
—
13450
MEDICAL EYE SERVICES PROV
CA
01
—
41068
COLE MANAGED CARE
CA
01
—
4194050001
DMERC PROVIDER #
CA
01
—
48609
SAFEGUARD DENTAL/VISION
CA
01
—
917603
BLOCK VISION
CA
05
—
SD0104190
—
CA
Enumeration date
06/16/2005
Last updated
12/26/2007
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