Blue Sky Optometry

LBN: Blue Sky Optometry
Blue Sky Optometry is an health care organization with primary practice located at 720 E. Valley Blvd. , San Gabriel CA 91776-3547. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Blue Sky Optometry can be contacted via phone (626) 288-8097, or through Kim, Jane via phone (626) 288-8097.

Contact Information

Primary practice address
720 E. Valley Blvd. San Gabriel CA 91776-3547
Phone: (626) 288-8097
Fax: (626) 288-8360
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jane Doctor of Optometry (OD)
Phone: (626) 288-8097

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 13140T California

Profile Details

NPI number 1619182839
LBN Legal business name Blue Sky Optometry
DBA Doing business as
Authorized official Kim, Jane Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1619182839 NPPES
California MEDICAID SD0131400

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