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General NPI Number Information
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NPI Number | 1134395585
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Entity Type | Organization
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Legal Business Name | ROBERT J JOYCE OD APC
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 32245 MISSION TRL SUITE D4
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4528
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Country | US
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Telephone | 951-674-1561
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Fax | 951-674-5300
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Provider Business Mailing Address
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Address Line | 32245 MISSION TRL SUITE D4
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-4528
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Country | US
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Telephone | 951-674-1561
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Fax | 951-674-5300
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ROBERT JOSEPH JOYCE
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Credential | OD
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Telephone | 951-674-1561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11833
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License Number State | CA
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