Delta Vista Optometry INC.
Optometrist in Brentwood, CA. Organization (NPI-2).
NPI number1285642801
StatusActive
Last updated in NPPESApr 4, 2022
Details
- NPI
- 1285642801
- Entity type
- Organization (NPI-2)
- Legal business name
- Delta Vista Optometry INC.
- Organization subpart
- No
- Enumeration date
- Aug 3, 2006
- Certification date
- Apr 4, 2022
- Last updated
- Apr 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT 8323 TPL | CA | Yes |
Practice location
8440 Brentwood Blvd Ste FBrentwood, CA 94513-1300
Phone 924-634-0303 · Fax 925-634-0338
Mailing address
8440 Brentwood Blvd Ste FBrentwood, CA 94513-1300
Phone 925-634-0303 · Fax 925-634-0338
Authorized official
Carol A Buchanan
Owner
9256340303
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