Organization
OCONNOR OD OPTOMETRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MICHAEL O'CONNOR O.D. (PRESIDENT)
(310) 994-9201
Entity
Organization
Contact information
Practice address
3840 CROSS CREEK RD, MALIBU, CA 90265-4933
(310) 994-9201
Mailing address
3840 CROSS CREEK RD, MALIBU, CA 90265-4933
(310) 994-9201
(310) 456-0430
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPT6766TG
CA
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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