Organization
ATHENA EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY TAI DO (PRESIDENT)
(949) 889-2020
Entity
Organization
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 340, MISSION VIEJO, CA 92691-8021
(949) 889-2020
(949) 288-5097
Mailing address
15333 CULVER DR STE 340F, IRVINE, CA 92604-3078
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
Other
Enumeration date
05/08/2022
Last updated
09/22/2022
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