Organization
DR. ROSA OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON M. ROSA O.D. (CEO)
(760) 634-1957
Entity
Organization
Contact information
Practice address
282 N EL CAMINO REAL, STE F, ENCINITAS, CA 92024-2863
(760) 634-1957
(760) 634-1994
Mailing address
282 N EL CAMINO REAL, STE F, ENCINITAS, CA 92024-2863
(760) 634-1957
(760) 634-1994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7563T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06676
MEDICAL EYE SERVICES MESC
CA
01
—
48528
SAFEGUARD DENTAL AND VISION
CA
01
—
CA07563
VISION BENIFITS OF AMERICA
CA
Enumeration date
03/05/2007
Last updated
02/23/2012
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