Organization
IDEAL FORTUNE CO. INC.
Active
Other names
Ideal Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS GO (OWNER)
(909) 525-9500
Entity
Organization
Contact information
Practice address
1535 LANDESS AVE, SUITE 133, MILPITAS, CA 95035-8208
(408) 934-9117
Mailing address
1535 LANDESS AVE, SUITE 133, MILPITAS, CA 95035-8208
(408) 934-9117
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
D7585
CA
156FX1800X
Optician
Primary
D7585
CA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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