Campbell Optometric Group

NPI #1114179009 in Campbell, California

Provider Information

NPI Number: 1114179009
Entity Type: Organization
Organization Name: Campbell Optometric Group
Primary Specialty: Optometrist
Enumeration Date: Oct 22, 2008
Last Updated: Oct 23, 2008

Practice Location

Address: 621 E CAMPBELL AVE STE 11B
City: Campbell
State: California
ZIP Code: 95008-2136
Phone: (408) 378-4661

Authorized Official

Name: SHERRY GOULD
Title: OFFICE MANANGER
Phone: (408) 378-4661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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