Organization
CALIFORNIA EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CREIGHTON (BOOKKEEPING MANAGER)
(925) 754-2625
Entity
Organization
Contact information
Practice address
1181 CENTRAL BLVD, SUITE F, BRENTWOOD, CA 94513-2278
(925) 516-0888
Mailing address
1181 CENTRAL BLVD, BRENTWOOD, CA 94513-2278
(925) 516-0888
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0018432
—
CA
Enumeration date
02/20/2007
Last updated
08/22/2020
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