Kostura Optometric Corp
NPI #1578181491 in Trabuco Canyon, California
Provider Information
- NPI Number
- 1578181491
- Entity Type
- Organization
- Organization Name
- Kostura Optometric Corp
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 7, 2020
- Last Updated
- Oct 12, 2020
Practice Location
- Address
- 21612 PLANO TRABUCO RD STE C
- City
- Trabuco Canyon
- State
- California
- ZIP Code
- 92679-3488
- Phone
- (949) 459-5687
Authorized Official
- Name
- DR. MICHAEL R KOSTURA II, OD
- Title
- PRESIDENT
- Phone
- (949) 202-9935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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