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Organization

GLOBAL LASER VISION MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FARZAD YAGHOUTI M.D. (MEDICAL DIRECTOR)
(619) 243-2444
Entity
Organization

Contact information

Practice address
6950 FRIARS RD STE 100, SAN DIEGO, CA 92108-5107
(619) 243-2444
(619) 243-2443
Mailing address
6950 FRIARS RD STE 100, SAN DIEGO, CA 92108-5107
(619) 243-2444
(619) 243-2443

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
G085172
CA
152WC0802X
Corneal and Contact Management Optometrist
G085172
CA
152WV0400X
Vision Therapy Optometrist
G081572
CA
156FC0800X
Contact Lens Technician/Technologist
G085172
CA
156FC0801X
Contact Lens Fitter
G085172
CA
156FX1100X
Ophthalmic Technician/Technologist
G085172
CA
156FX1101X
Ophthalmic Assistant
G085172
CA
156FX1201X
Optometric Assistant Technician
G085172
CA
156FX1202X
Optometric Technician
G085172
CA
156FX1800X
Optician
G085172
CA
207W00000X
Ophthalmology Physician
Primary
G085172
CA

Other

Enumeration date
02/23/2008
Last updated
02/23/2008
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