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MELODY AGBUYA-FLORES O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1780946012
Individual Registrant: MELODY AGBUYA-FLORES O.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1665 DOMINICAN WAY SUITE 122 SANTA CRUZ, CA 95065-1580 US
Tel: 831-476-1298 Fax: --
Tel: 831-476-1298 Fax: --
Contact information for business:
1665 DOMINICAN WAY SUITE 122 SANTA CRUZ, CA 95065-1580 US
Tel: 831-476-1298 Fax: --
Tel: 831-476-1298 Fax: --
Registration Information:
NPI: 1780946012
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CA | 14419TLG |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
