Advanced Eyecare Professional Optometric Group
LBN: Advanced Eyecare Professional Optometric Group
Advanced Eyecare Professional Optometric Group is an health care organization with primary practice located at 330 N Brand Blvd Suite 110, Glendale CA 91203-2308. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Advanced Eyecare Professional Optometric Group can be contacted via phone (818) 240-0890, or through Black, Ronald V via phone (818) 240-0890.
Contact Information
Primary practice address
330 N Brand Blvd Suite 110
Glendale CA 91203-2308
Phone: (818) 240-0890
Fax: (808) 246-2540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT9869 | California |
Profile Details
| NPI number | 1306035118 |
|---|---|
| LBN Legal business name | Advanced Eyecare Professional Optometric Group |
| DBA Doing business as | |
| Authorized official | Black, Ronald V Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Sep 21st, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306035118 | NPPES |
| California | MEDICAID | 1306035118 |
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