Eyes On Eastlake Optometry INC
NPI #1417646597 in Chula Vista, California
Provider Information
- NPI Number
- 1417646597
- Entity Type
- Organization
- Organization Name
- Eyes On Eastlake Optometry INC
- Primary Specialty
- Optometrist
- Enumeration Date
- May 3, 2023
- Last Updated
- May 4, 2023
Practice Location
- Address
- 1360 EASTLAKE PKWY
- City
- Chula Vista
- State
- California
- ZIP Code
- 91915-4116
- Phone
- (619) 482-1603
Authorized Official
- Name
- AILLEEN DEOCADIZ JACOB, OD
- Title
- PRESIDENT/CEO
- Phone
- (954) 854-5778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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