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Organization

GREAT EYES OPTOMETRY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JADE NGOC MY DAVIS O.D. (PRESIDENT)
(213) 626-9978
Entity
Organization

Contact information

Practice address
343 S BROADWAY, LOS ANGELES, CA 90013-1207
(213) 626-9978
(213) 628-0500
Mailing address
625 LAS DUNAS ST, IMPERIAL, CA 92251-8000
(714) 305-7874

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11765T
CA

Other

Enumeration date
01/04/2008
Last updated
02/20/2018
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