Fourth Optometric Care of California
NPI #1750052189 in San Bruno, California
Provider Information
- NPI Number
- 1750052189
- Entity Type
- Organization
- Organization Name
- Fourth Optometric Care of California
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 24, 2021
- Last Updated
- Dec 20, 2023
Practice Location
- Address
- 648 JENEVEIN AVE
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-4230
- Phone
- (650) 871-1816
Authorized Official
- Name
- BRITTANY HARRISON
- Title
- DIRECTOR
- Phone
- (512) 316-4603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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