Organization · NPI-2

Barbara Villa Od PC

Optometrist · Tustin, CA

NPI number1902007446
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1902007446
Entity type
Organization (NPI-2)
Legal business name
Barbara Villa Od PC
Organization subpart
No
Enumeration date
May 31, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT 10245 TPACAYes

Practice location

2700 Park Avenue
Tustin, CA 92782

Phone 714-259-1530 · Fax 714-259-1532

Mailing address

28331 La Plumosa
Laguna Niguel, CA 92677-7050

Phone 949-400-1530

Authorized official

Barbara Jean Villa
Principal Officer
9494001530

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