Fifth Optometric Care of California

NPI #1275319451 in Lake Forest, California

Provider Information

NPI Number
1275319451
Entity Type
Organization
Organization Name
Fifth Optometric Care of California
Subpart
Yes (part of a larger organization)
Parent Organization
FIFTH OPTOMETRIC CARE OF CALIFORNIA
Primary Specialty
Optometrist
Enumeration Date
Sep 5, 2023
Last Updated
Sep 17, 2024

Practice Location

Address
22681 LAKE FOREST DR STE A2
ZIP Code
92630-1799
Phone
(949) 837-2121

Authorized Official

Name
BRITTANY HARRISON
Title
DELEGATED OFFICIAL
Phone
(512) 316-4603

Specialties & Taxonomy Codes

Specialty
Optometrist

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