Organization
DEAN AMUNDSEN,O.D. PROFESSIONAL OPTOMETRY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN KENTON AMUNDSEN O.D. (PRESIDENT/CEO)
(805) 482-1136
Entity
Organization
Contact information
Practice address
4000 CALLE TECATE, SUITE 100, CAMARILLO, CA 93012-5282
(805) 482-1136
Mailing address
4000 CALLE TECATE, SUITE 100, CAMARILLO, CA 93012-5282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7925TPA
CA
Other
Enumeration date
02/03/2006
Last updated
08/04/2008
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