Eastlake Optometry INC.
Clinic/Center in Chula Vista, CA. Organization (NPI-2).
NPI number1487537668
StatusActive
Last updated in NPPESJul 28, 2025
Details
- NPI
- 1487537668
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastlake Optometry INC.
- Organization subpart
- No
- Enumeration date
- Jul 28, 2025
- Certification date
- Jul 27, 2025
- Last updated
- Jul 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
910 Eastlake PkwyChula Vista, CA 91914-3558
Phone 619-210-1169
Mailing address
3333 Oliphant StSan Diego, CA 92106-1801
Phone 419-367-4676
Authorized official
Stephanie Yarnell
Optometrist
4193674676
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