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J. Michael Vidal, Od Inc
Eyewear Supplier in La Mesa, California
NPI 1396071296

J. Michael Vidal, Od Inc is a Eyewear Supplier based in La Mesa, CA. J. Michael Vidal, Od Inc practices in La Mesa, CA. The NPI Number for J. Michael Vidal, Od Inc is 1396071296 and holds a License No. CA61320 (California).

The current practice location address for J. Michael Vidal, Od Inc is 7090 Parkway Dr, La Mesa, CA and can be reached out via phone at 619-460-2020 and via fax at 619-462-2020.

Location: 7090 Parkway Dr, La Mesa, CA, 91942-1596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396071296
Provider Name
J. Michael Vidal, Od Inc
Credential
Provider Entity Type
Organization
Address
7090 Parkway Dr, La Mesa, CA, 91942-1596
Phone Number
619-460-2020
Fax Number
619-462-2020
Provider Enumeration Date
10/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SD0061320 05 CA
institution
Provider Business Practice Location Address Details
Address
7090 Parkway Dr
City
La Mesa
State
California
Zip
91942-1596
Phone Number
619-460-2020
Fax Number
619-462-2020
person
Provider Business Mailing Address Details
Address
7090 Parkway Dr
City
La Mesa
State
California
Zip
91942-1596
Phone Number
619-460-2020
Fax Number
619-462-2020
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
CA61320 (California)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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