Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. J MICHAEL VIDAL, O.D.

Active Sole Proprietor

DR. J MICHAEL VIDAL, O.D. is a Optometrist healthcare provider located in LA MESA, California. NPI 1457311128 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LA MESA, CA

Registration Details

NPI Number: 1457311128
Provider Type: Individual
Gender: Male
NPI Issued: Mar 25, 2006 (20.369813087557 yrs)
Last Updated: Feb 11, 2014
License: CA61320 (CA)
Sole Proprietor: Yes

Practice Information

Address: 7090 PARKWAY DR

LA MESA, CA, 919421596
Browse CA providers · Browse ZIP 91942
Phone: 6194602020
Fax: 6194622020
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in LA MESA, CA

Name	Credential	NPI
DR. DAVID MARK NEWMAN	O.D.	1508856378
DR. STEVEN PETERSON	O.D.	1659331320
MR. THOMAS MARK HIXSON	OD	1528072683
DR. GREGORY EDWARD GILES	O.D.	1114931250
GARY R. FUNK	O.D.	1851301964
DR. JAMIE STARR PETERS	O.D.	1073691077

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.