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Shea Optometric Corporation
Medical Specialty Clinic/Center in Costa Mesa, California
NPI 1881832962

Shea Optometric Corporation is a Medical Specialty Clinic/Center based in Costa Mesa, CA and is specialized in Medical Specialty. Shea Optometric Corporation practices in Costa Mesa, CA. The NPI Number for Shea Optometric Corporation is 1881832962 and holds a License No. 11538TPL (California).

The current practice location address for Shea Optometric Corporation is 2200 Harbor Blvd, Costa Mesa, CA and can be reached out via phone at 949-642-7882 and via fax at 949-642-7792.

Location: 2200 Harbor Blvd, Costa Mesa, CA, 92627-2501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881832962
Provider Name
Shea Optometric Corporation
Credential
Provider Entity Type
Organization
Address
2200 Harbor Blvd, Costa Mesa, CA, 92627-2501
Phone Number
949-642-7882
Fax Number
949-642-7792
Provider Enumeration Date
01/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2200 Harbor Blvd
City
Costa Mesa
State
California
Zip
92627-2501
Phone Number
949-642-7882
Fax Number
949-642-7792
person
Provider Business Mailing Address Details
Address
2200 Harbor Blvd
City
Costa Mesa
State
California
Zip
92627-2501
Phone Number
949-642-7882
Fax Number
949-642-7792
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
11538TPL (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
11538TPL (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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