Dr. Taylor Bladh O.D. Inc
LBN: Dr. Taylor Bladh O.D. Inc
Dr. Taylor Bladh O.D. Inc is an health care organization with primary practice located at 1796 Newport Blvd , Costa Mesa CA 92627-2756. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Dr. Taylor Bladh O.D. Inc can be contacted via phone (949) 642-2020, or through Bladh, Taylor Woodbury via phone (909) 861-3737.
Contact Information
Primary practice address
1796 Newport Blvd
Costa Mesa CA 92627-2756
Phone: (949) 642-2020
Fax: (949) 642-8753
Website:
Authorized official contact:
Name: Bladh, Taylor Woodbury Doctor of Optometry (OD)
Phone: (909) 861-3737
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X |
Profile Details
| NPI number | 1700440633 |
|---|---|
| LBN Legal business name | Dr. Taylor Bladh O.D. Inc |
| DBA Doing business as | |
| Authorized official | Bladh, Taylor Woodbury Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 25th, 2019 |
| Last updated | Jun 11th, 2019 - about 5 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 | 1700440633 | NPPES |
| California | Other | OPT8921TPA | OPTOMETRY LICENSE NUMBER |
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