NPI 1114160892

First Bristol Optometry

Organisation Exclusive Provider Organization Santa Ana, CA

Practice location

Address: 1601 W 1st St Suite C, Santa Ana, CA 92703-3670
Phone: (714) 543-7072
Fax: (714) 543-7073

Authorised official

Name: Mimi K Tran
Title: Optometrist
Phone: (714) 889-0688

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence OPT 13598T (CA)

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1114160892
Entity type: Organization
NPI issued: 11 Apr 2009
Record last updated: 11 Apr 2009

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.