Chino Optometry Center
Optometrist in Chino, CA. Organization (NPI-2).
NPI number1639211360
StatusActive
Last updated in NPPESFeb 28, 2013
Details
- NPI
- 1639211360
- Entity type
- Organization (NPI-2)
- Legal business name
- Chino Optometry Center
- Organization subpart
- No
- Enumeration date
- Feb 12, 2007
- Last updated
- Feb 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT6062TPA | CA | Yes |
Practice location
11640 Central AveChino, CA 91710-1923
Phone 909-627-7363 · Fax 909-627-9854
Mailing address
11640 Central AveChino, CA 91710-1923
Phone 909-627-7363 · Fax 909-627-9854
Authorized official
John T Ju
Owner
9096277363
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