| Imperial Valley Optometric Corporation | |
|
1113 Imperial Ave W, Suite 103, Calexico, CA 92231-4808 | |
| (760) 768-9484 | |
| Not Available |
| Full Name | Imperial Valley Optometric Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1113 Imperial Ave W, Calexico, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780838649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CA11960T (California) | Secondary |
| 152W00000X | Optometrist | CA11166T (California) | Secondary |
| 152W00000X | Optometrist | CA11368T (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Valley Optometric Corporation 525 W Main St, Suite 2, El Centro, CA 92243-7900 Ph: (760) 336-3003 | Imperial Valley Optometric Corporation 1113 Imperial Ave W, Suite 103, Calexico, CA 92231-4808 Ph: (760) 768-9484 |
Imperial Valley Optomtric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1113 Imperial Ave. W., Ste 103, Calexico, CA 92231 Phone: 760-336-3003 Fax: 888-210-5799 | |
David R. Boniface, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 329 W 2nd St, Calexico, CA 92231 Phone: 760-357-2712 Fax: 760-357-5710 |