San Diego Optical
NPI #1154537066 in La Jolla, California
Provider Information
- NPI Number
- 1154537066
- Entity Type
- Organization
- Organization Name
- San Diego Optical
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7701 FAY AVE
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-4310
- Phone
- (858) 454-0033
Authorized Official
- Name
- CARTER SHRUM
- Title
- OWNER
- Phone
- (858) 454-0033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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