Provider Demographics
NPI:1851922470
Name:ALEX TADROS OPTOMETRIC CORPORATION
Entity Type:Organization
Organization Name:ALEX TADROS OPTOMETRIC CORPORATION
Other - Org Name:CALIFORNIA OAKS VISION CENTER OF OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DCOTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:V
Authorized Official - Last Name:TADROS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:760-662-0480
Mailing Address - Street 1:24640 JEFFERSON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9030
Mailing Address - Country:US
Mailing Address - Phone:951-677-5144
Mailing Address - Fax:
Practice Address - Street 1:24640 JEFFERSON AVE STE 100
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9030
Practice Address - Country:US
Practice Address - Phone:951-677-5144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-01
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty