Imperial Valley Optomtric Corporation

NPI #1508143827 in Calexico, California

Provider Information

NPI Number: 1508143827
Entity Type: Organization
Organization Name: Imperial Valley Optomtric Corporation
Primary Specialty: Optometrist
Enumeration Date: Nov 15, 2011
Last Updated: Nov 15, 2011

Practice Location

Address: 1113 IMPERIAL AVE. W.
Address 2: STE 103
City: Calexico
State: California
ZIP Code: 92231
Phone: (760) 336-3003

Authorized Official

Name: DR. MAY C TAM, O.D.
Title: VICE PRESIDENT
Phone: (760) 336-3003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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