Imperial Valley Optometric Corporation
NPI #1043588346 in San Diego, California
Provider Information
- NPI Number
- 1043588346
- Entity Type
- Organization
- Organization Name
- Imperial Valley Optometric Corporation
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 1, 2011
- Last Updated
- Dec 6, 2011
Practice Location
- Address
- 5638 MISSION CENTER RD
- Address 2
- STE 103
- City
- San Diego
- State
- California
- ZIP Code
- 92108-4348
- Phone
- (619) 295-2900
Authorized Official
- Name
- DR. MAY C TAM, O.D.
- Title
- VICE PRESIDENT
- Phone
- (760) 336-3003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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