NPI 1083807010
Mission Optometric Center
Practice location
- Address
- 31401 Rancho Viejo Rd STE 103, San Juan Capistrano, CA 92675-1850
- Phone
- (949) 496-0552
- Fax
- (949) 443-3794
Authorised official
- Name
- Joseph Keith Kikumoto
- Title
- Owner
- Phone
- (949) 496-0552
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1083807010
- Entity type
- Organization
- NPI issued
- 23 Aug 2007
- Record last updated
- 23 Aug 2007
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.