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Organization

EYES OF CONCORD

Active
Parent organization
EYES OF CONCORD INC
Other names
Site for Sore Eyes
Organization subpart
Yes

Provider details

NPI number
Legal business name
EYES OF CONCORD INC
Authorized official
NICHOLAS SHASHATI (DIRECTOR)
(858) 414-3513
Entity
Organization

Contact information

Practice address
901 SUNVALLEY BLVD STE 110, CONCORD, CA 94520-5816
(925) 676-5638
Mailing address
901 SUNVALLEY BLVD STE 110, CONCORD, CA 94520-5816

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000
OPTICAL
Enumeration date
11/19/2021
Last updated
11/19/2021
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