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Dr. Scott Allen Craig, O.D.

Optometrist in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1811037872
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1811037872
Entity type
Individual (NPI-1)
Name
Dr. Scott Allen Craig
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 7, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist12252 TPLCAYes
152W00000X OptometristOP1000127DC

Practice location

234 E 17th St
Suite 110
Costa Mesa, CA 92627-3825

Phone 949-548-1631 · Fax 949-548-6430

Mailing address

2020 Fullerton Ave Apt 51
Costa Mesa, CA 92627-7120

Phone 949-645-8823

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