Organization
SHEA OPTOMETRIC CORPORATION
Active
Other names
Nuview Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK C. SHEA O.D. (PRESIDENT)
(949) 642-7882
Entity
Organization
Contact information
Practice address
2200 HARBOR BLVD, STE D-130, COSTA MESA, CA 92627-2501
(949) 642-7882
(949) 642-7792
Mailing address
2200 HARBOR BLVD, STE D-130, COSTA MESA, CA 92627-2501
(949) 642-7882
(949) 642-7792
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
11538TPL
CA
261QM2500X
Medical Specialty Clinic/Center
Primary
11538TPL
CA
Other
Enumeration date
01/28/2009
Last updated
03/03/2009
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