Organization
BIRD ROCK OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELENA KRON (OWNER)
(619) 427-2289
Entity
Organization
Contact information
Practice address
865 3RD AVE STE 121, CHULA VISTA, CA 91911-1300
(619) 427-2289
(619) 426-3427
Mailing address
865 3RD AVE STE 121, CHULA VISTA, CA 91911-1300
(619) 427-2289
(619) 426-3427
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
021264-06
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX006044F
—
CA
Enumeration date
08/07/2007
Last updated
03/03/2008
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