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Mr. Kip Mcgooden, RDO
Optician in Aptos, California
NPI 1114089943

Kip Mcgooden is a Optician based in Aptos, CA and is specialized in Optician. Kip Mcgooden practices in Aptos, CA and has the professional credentials of RDO. The NPI Number for Kip Mcgooden is 1114089943 and holds a License No. 2717 (California).

The current practice location address for Kip Mcgooden is 783 Rio Del Mar Blvd Ste 37, Aptos, CA and can be reached out via phone at 831-688-1516.

Location: 783 Rio Del Mar Blvd Ste 37, Aptos, CA, 95003-4771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114089943
Provider Name
Kip Mcgooden
Credential
RDO
Provider Entity Type
Individual
Gender
Male
Address
783 Rio Del Mar Blvd Ste 37, Aptos, CA, 95003-4771
Phone Number
831-688-1516
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
783 Rio Del Mar Blvd Ste 37
City
Aptos
State
California
Zip
95003-4700
Phone Number
831-688-1516
Fax Number
person
Provider Business Mailing Address Details
Address
783 Rio Del Mar Blvd Ste 37
City
Aptos
State
California
Zip
95003-4700
Phone Number
831-688-1516
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
2717 (California)
Definition
Definition to come...
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