Modern Eyes Optometry, Inc.

NPI #1902125180 in Pleasanton, California

Provider Information

NPI Number: 1902125180
Entity Type: Organization
Organization Name: Modern Eyes Optometry, Inc.
Primary Specialty: Optometrist
Enumeration Date: May 27, 2010
Last Updated: Mar 30, 2017

Practice Location

Address: 63 W ANGELA ST
City: Pleasanton
State: California
ZIP Code: 94566-7328
Phone: (925) 456-4393

Authorized Official

Name: JACK SON KIM, O.D.
Title: PRESIDENT
Phone: (562) 809-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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