Provider Demographics
NPI:1346952298
Name:ANITA SHECK O.D. OPTOMETRIC CORPORATION
Entity Type:Organization
Organization Name:ANITA SHECK O.D. OPTOMETRIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHECK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:619-219-9191
Mailing Address - Street 1:895 E H ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7807
Mailing Address - Country:US
Mailing Address - Phone:619-219-9191
Mailing Address - Fax:
Practice Address - Street 1:895 E H ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7807
Practice Address - Country:US
Practice Address - Phone:619-219-9191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty