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Individual

DEAN E KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
900 E MORTON PL, HEMET, CA 92543-4529
(951) 658-9409
(951) 658-2057
Mailing address
900 E MORTON PL, HEMET, CA 92543-4529
(951) 658-9409
(951) 658-2057

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5416T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06639
MEDICAL EYE SERVICES ID #
CA
01
48726
HEALTH NET VISION
CA
01
CA5416
EYEMED VISION ID#
CA
01
OPT5416T
TRICARE/CHAMPUS
CA
Enumeration date
10/31/2005
Last updated
06/21/2010
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