MANTECA OPTOMETRY
Organization (NPI-2)
Active
Optometrist, Pediatrics
Provider Information
- NPI Number
1548339112- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 158 N MAPLE AVE, MANTECA, CA, 953364503
- Phone
- (209) 239-3504
- Fax
- (209) 239-0741
Specialties & Taxonomies
Optometrist, Pediatrics
Primary License: CA #12388T