Basic Information
| Provider Information | |||||||||
| NPI: | 1134395585 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ROBERT J JOYCE OD APC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | MISSION OPTOMETRY | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 32245 MISSION TRL | ||||||||
| Address2: | SUITE D4 | ||||||||
| City: | LAKE ELSINORE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925304528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9516741561 | ||||||||
| FaxNumber: | 9516745300 | ||||||||
| Practice Location | |||||||||
| Address1: | 32245 MISSION TRL | ||||||||
| Address2: | SUITE D4 | ||||||||
| City: | LAKE ELSINORE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925304528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9516741561 | ||||||||
| FaxNumber: | 9516745300 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2008 | ||||||||
| LastUpdateDate: | 06/24/2009 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | JOYCE | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | JOSEPH | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9516741561 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 11833 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.