I to I LLC

NPI #1982211793 in Modesto, California

Provider Information

NPI Number: 1982211793
Entity Type: Organization
Organization Name: I to I LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 25, 2020
Last Updated: Feb 17, 2021

Practice Location

Address: 3401 OAKDALE RD
Address 2: STE 525
City: Modesto
State: California
ZIP Code: 95355
Phone: (209) 662-0282

Authorized Official

Name: JACKIE BENNETT
Title: CREDENTIALING MANAGER
Phone: (619) 357-6146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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