Michael David Allen, O.D. Valid NPI
Individual provider · Optometrist · Barstow, CA
- NPI
- 1629003447
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 11855T (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-11
- Last updated
- 2021-12-01
Practice location
1356 E Main St Ste A
Barstow, CA 92311-3241
(760) 256-8014