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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.

NPI # 1548465222
LBN Legal business name VISION CARE CENTER OF SOUTHEASTERN CA AN OPTOMETRIC CORP.
Authorized official DONALD BARNISKE - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2007
Last updated 02/11/2015 - About 11 years ago
Identifiers
CA License # 005636
CA Medicaid 1548465222
CA Other WY2550 MEDICARE PROVIDER
CA Other 1982760310 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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