Nipomo Optometry INC

NPI #1538321724 in Nipomo, California

Provider Information

NPI Number: 1538321724
Entity Type: Organization
Organization Name: Nipomo Optometry INC
Primary Specialty: Optometrist
Enumeration Date: Jun 28, 2008
Last Updated: Jun 28, 2008

Practice Location

Address: 125 S FRONTAGE RD
City: Nipomo
State: California
ZIP Code: 93444-8979
Phone: (805) 929-1982

Authorized Official

Name: DR. EILEEN OTTAVIANI, O.D.
Title: OPTOMETRIST
Phone: (805) 929-1982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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