Booth Optometry Group

LBN: Booth Optometry Group
Booth Optometry Group is an health care organization with primary practice located at 1102 Irvine Blvd , Tustin CA 92780-3529. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Booth Optometry Group can be contacted via phone (714) 838-3210, or through Kayekjian, Amy Louise via phone (714) 838-3210.

Contact Information

Primary practice address
1102 Irvine Blvd Tustin CA 92780-3529
Phone: (714) 838-3210
Fax: (714) 838-5702
Website:
Map and Directions
Authorized official contact:
Name: Kayekjian, Amy Louise Doctor of Optometry (OD)
Phone: (714) 838-3210

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT-11505-TPA California

Profile Details

NPI number 1861788218
LBN Legal business name Booth Optometry Group
DBA Doing business as
Authorized official Kayekjian, Amy Louise Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2011
Last updated Sep 2nd, 2011 - about 13 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 1861788218 NPPES
California MEDICAID SD0115050

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