Dean Amundsen,o.d. Professional Optometry Corp.

NPI #1750353637 in Camarillo, California

Provider Information

NPI Number: 1750353637
Entity Type: Organization
Organization Name: Dean Amundsen,o.d. Professional Optometry Corp.
Primary Specialty: Optometrist
Enumeration Date: Feb 3, 2006
Last Updated: Aug 4, 2008

Practice Location

Address: 4000 CALLE TECATE
Address 2: SUITE 100
City: Camarillo
State: California
ZIP Code: 93012-5282
Phone: (805) 482-1136

Authorized Official

Name: DR. DEAN KENTON AMUNDSEN, O.D.
Title: PRESIDENT/CEO
Phone: (805) 482-1136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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