Mission Optometric Center
NPI #1083807010 in San Juan Capistrano, California
Provider Information
- NPI Number
- 1083807010
- Entity Type
- Organization
- Organization Name
- Mission Optometric Center
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 23, 2007
- Last Updated
- Aug 23, 2007
Practice Location
- Address
- 31401 RANCHO VIEJO RD STE 103
- State
- California
- ZIP Code
- 92675-1850
- Phone
- (949) 496-0552
Authorized Official
- Name
- DR. JOSEPH KEITH KIKUMOTO, O.D.
- Title
- OWNER
- Phone
- (949) 496-0552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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