Organization
INNOVATIVE EYE CARE OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHEREE A WILHELMSEN O.D. (PRESIDENT)
(661) 213-3310
Entity
Organization
Contact information
Practice address
4903 CALLOWAY DR STE 101, BAKERSFIELD, CA 93312-9711
(661) 213-3310
(661) 213-3315
Mailing address
4903 CALLOWAY DR STE 101, BAKERSFIELD, CA 93312-9711
(661) 213-3310
(661) 213-3315
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10443T
CA
Other
Enumeration date
10/17/2012
Last updated
08/03/2022
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