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Kirk D Wallis, RDO
Optician in Lancaster, California
NPI 1649315920

Kirk D Wallis is a Optician based in Lancaster, CA and is specialized in Optician. Kirk D Wallis practices in Lancaster, CA and has the professional credentials of RDO. The NPI Number for Kirk D Wallis is 1649315920 and holds a License No. 6273 (California).

The current practice location address for Kirk D Wallis is 44407 10Th St W, Lancaster, CA and can be reached out via phone at 661-942-6515 and via fax at 661-723-9293.

Location: 44407 10Th St W, Lancaster, CA, 93534-3345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649315920
Provider Name
Kirk D Wallis
Credential
RDO
Provider Entity Type
Individual
Gender
Male
Address
44407 10Th St W, Lancaster, CA, 93534-3345
Phone Number
661-942-6515
Fax Number
661-723-9293
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ35826Z 05 CA
institution
Provider Business Practice Location Address Details
Address
44407 10Th St W
City
Lancaster
State
California
Zip
93534-3345
Phone Number
661-942-6515
Fax Number
661-723-9293
person
Provider Business Mailing Address Details
Address
44407 10Th St W
City
Lancaster
State
California
Zip
93534-3345
Phone Number
661-942-6515
Fax Number
661-723-9293
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
6273 (California)
Definition
Definition to come...
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