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WALTER CABRERA OLIVA

Optician >> Technician/Technologist >> Eye and Vision Services Providers

Registrant NPI Number: 1013551746

Individual Registrant:
 WALTER  CABRERA OLIVA 
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

Contact information for business:
11605 N LAMAR BLVD  AUSTIN, TX 78753-2658 US
Tel: 737-222-6996  Fax: 512-522-8836

Registration Information:
NPI: 1013551746
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FX1800XEye and Vision Services Providers
Technician/Technologist
Optician
CA41668

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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