Most Relevant Information
Provider Data
| NPI Number: | 1003806233 |
| Provider Name: | BRENDA J SWIDERSKI O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OPT12109 |
Most Important Dates
| Enumeration Date: | 10/27/2005 |
| Last Updated: | 12/23/2021 |
Provider Practice Location
6945 EL CAJON BLVD
SAN DIEGO
CA
921151754
Practice Location Phone/Fax
| Phone: | 6196974600 |
| Fax: | 6194645526 |
Provider Mailing Location
8080 PARKWAY DR
LA MESA
CA
919422104
Provider Mailing Phone/Fax
| Phone: | 6195897500 |
| Fax: | 6195897500 |