Individual
DR. DERIC CRANE SIMMONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8907 WARNER AVE, SUITE 125, HUNTINGTON BEACH, CA 92647-5075
(714) 962-6400
(714) 596-5972
Mailing address
8907 WARNER AVE, SUITE 125, HUNTINGTON BEACH, CA 92647-5075
(714) 962-6400
(714) 596-5972
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9360T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0093600
—
CA
Enumeration date
10/21/2005
Last updated
07/08/2007
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