Antelope Valley Optometric Center, Inc.

LBN: Antelope Valley Optometric Center, Inc.
Antelope Valley Optometric Center, Inc. is an health care organization with primary practice located at 1745 W Avenue K Suite A, Lancaster CA 93534-6501. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Antelope Valley Optometric Center, Inc. can be contacted via phone (661) 942-8437, or through Martin, Jerry L via phone (661) 942-8437.

Contact Information

Primary practice address
1745 W Avenue K Suite A Lancaster CA 93534-6501
Phone: (661) 942-8437
Fax: (661) 940-1959
Website:
Map and Directions
Authorized official contact:
Name: Martin, Jerry L Doctor of Optometry (OD)
Phone: (661) 942-8437

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X COR 486 California

Profile Details

NPI number 1548202864
LBN Legal business name Antelope Valley Optometric Center, Inc.
DBA Doing business as
Authorized official Martin, Jerry L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548202864 NPPES
California Other ZZ40293Z BLUE CROSS/BLUE SHIELD

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