NPI 1003203852

Eyexam of California

Organisation Health Maintenance Organization West Covina, CA

Practice location

Address: 496 Plaza Dr, West Covina, CA 91790-2854
Phone: (626) 814-4681

Authorised official

Name: Randi McMichael
Title: Optometrist
Phone: (617) 866-7582

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 15144TLG (CA)

Other Health Maintenance Organization providers in California →

Registry record

NPI: 1003203852
Entity type: Organization
NPI issued: 20 Apr 2015
Record last updated: 20 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.