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General NPI Number Information
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NPI Number | 1538517438
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Entity Type | Organization
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Legal Business Name | SOUTHWEST EYE CARE OPTOMETRIC CENTER, INC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 4649 PLANZ RD
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City | BAKERSFIELD
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State | CA
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Zip | 93309-5900
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Country | US
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Telephone | 661-833-4040
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Fax | 661-833-6721
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Provider Business Mailing Address
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Address Line | 4649 PLANZ RD
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City | BAKERSFIELD
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State | CA
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Zip | 93309-5900
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Country | US
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Telephone | 661-833-4040
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Fax | 661-833-6721
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Authorized Official
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Title or Position | OWNER
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Name | DR. JANAE LEANNE VANCE
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Credential | OD
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Telephone | 661-833-4040
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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 | 13897T
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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