Organization
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Active
Other names
Kendall-Shepard Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KENDALL OD (CEO)
(805) 736-2020
Entity
Organization
Contact information
Practice address
425 W CENTRAL AVE STE 102, LOMPOC, CA 93436
(805) 736-2020
(805) 737-1733
Mailing address
910 E STOWELL RD, SANTA MARIA, CA 93454-7001
(805) 925-2637
(805) 347-0033
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
10/01/2018
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