Michaels & Vu Od a Professional Corporation

NPI #1376748368 in Lake Forest, California

Provider Information

NPI Number: 1376748368
Entity Type: Organization
Organization Name: Michaels & Vu Od a Professional Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTH COUNTY EYE CARE OPTOMETRIC GROUP
Primary Specialty: Optometrist
Enumeration Date: Jun 19, 2007
Last Updated: Nov 13, 2007

Practice Location

Address: 23002 LAKE CENTER DR
City: Lake Forest
State: California
ZIP Code: 92630-6801
Phone: (949) 454-1064

Authorized Official

Name: DR. JUSTIN MICHAELS, O.D.
Title: CEO
Phone: (949) 454-1064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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