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Organization

DONALD PEARCY & VAN HOOSE OPTOMETRIC CORP., A PARTNERSHIP

Active
Other names
All About Eyes Optometric
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC CAMERON VAN HOOSE O.D. (PARTNER)
(760) 560-7501
Entity
Organization

Contact information

Practice address
4065 OCEANSIDE BLVD, SUITE C, OCEANSIDE, CA 92056-5824
(760) 945-2020
(760) 945-3451
Mailing address
4065 OCEANSIDE BLVD, SUITE C, OCEANSIDE, CA 92056-5824
(760) 945-2020
(760) 945-3451

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12667
CA
152W00000X
Optometrist
7911T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GSD000640
MEDI-CAL GROUP ID
CA
05
SD0079110
CA
05
SD0126670
CA
01
W18507
MEDICARE GROUP ID
CA
Enumeration date
05/09/2007
Last updated
12/16/2009
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