Organization
HARDER OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN SMITH (OPTI CIAN)
(209) 823-2107
Entity
Organization
Contact information
Practice address
1079 EUCALYPTUS ST, SUITE B, MANTECA, CA 95337-4317
(209) 823-2107
Mailing address
1079 EUCALYPTUS ST, SUITE B, MANTECA, CA 95337-4317
(209) 823-2107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0074811
—
CA
Enumeration date
10/31/2008
Last updated
07/17/2009
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