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WALTER CABRERA OLIVA
Optician >> Technician/Technologist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1013551746
Individual Registrant: WALTER CABRERA OLIVA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
5505 CARSON ST LAKEWOOD, CA 90713-3004 US
Tel: 562-608-2400 Fax: 562-608-2400
Tel: 562-608-2400 Fax: 562-608-2400
Contact information for business:
11605 N LAMAR BLVD AUSTIN, TX 78753-2658 US
Tel: 737-222-6996 Fax: 512-522-8836
Tel: 737-222-6996 Fax: 512-522-8836
Registration Information:
NPI: 1013551746
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 156FX1800X | Eye and Vision Services Providers Technician/Technologist Optician | CA | 41668 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
