| Stacey Qt Le, Od Professional Optometry Corporation | |
|
7038 Katella Ave Stanton CA 90680-2805 | |
| (714) 895-4899 | |
| Not Available |
| Full Name | Stacey Qt Le, Od Professional Optometry Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 7038 Katella Ave, Stanton, California |
| Authorized Official Name and Position | Stacey Qt Le (PRES) |
| Authorized Official Contact | 7148954899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Qt Le, Od Professional Optometry Corporation 7038 Katella Ave Stanton CA 90680-2805 Ph: (714) 895-4899 | Stacey Qt Le, Od Professional Optometry Corporation 7038 Katella Ave Stanton CA 90680-2805 Ph: (714) 895-4899 |
| NPI Number | 1609033992 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609033992 | NPI | - | NPPES |
| SD0102320 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OP10232 (California) | Primary |
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