DR. Jesse Vincent Dominguez, O.D.

NPI #1669789814 in Somerton, Arizona

Provider Information

NPI Number: 1669789814
Entity Type: Individual
Name: DR. Jesse Vincent Dominguez, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 9, 2010
Last Updated: Aug 14, 2013

Practice Location

Address: 725 E. MAIN ST.
Address 2: SUITE 1C
City: Somerton
State: Arizona
ZIP Code: 85350-0634
Phone: (928) 627-4525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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