Glendale Optometric Center
NPI #1801093653 in Glendale, California
Provider Information
- NPI Number
- 1801093653
- Entity Type
- Organization
- Organization Name
- Glendale Optometric Center
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Apr 9, 2008
Practice Location
- Address
- 308 E BROADWAY
- City
- Glendale
- State
- California
- ZIP Code
- 91205-1011
- Phone
- (818) 243-1300
Authorized Official
- Name
- DR. STACEY TAWNIE GIN, O.D.
- Title
- OPTOMETRIST
- Phone
- (818) 243-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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