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Contact Information

VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP.
260 MAIN ST
BRAWLEY, CA92227-2351
 Phone: 760-351-2020
 Fax: 760-344-4552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP · (Female)

NPI # 1548465222
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2007
Last updated 02/11/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 005636
  • CA Medicaid 1548465222
  • CA Other WY2550 MEDICARE PROVIDER
  • CA Other 1982760310 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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