Mercedeh Motameni, O.D., An Optometric Corporation

LBN: Mercedeh Motameni, O.D., An Optometric Corporation
Mercedeh Motameni, O.D., An Optometric Corporation is an health care organization with primary practice located at 4125 Sepulveda Blvd , Culver City CA 90230-4706. The organization recently has 4 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 / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Mercedeh Motameni, O.D., An Optometric Corporation can be contacted via phone (310) 391-6311, or through Motameni, Mercedeh via phone (310) 391-6311.

Contact Information

Primary practice address
4125 Sepulveda Blvd Culver City CA 90230-4706
Fax: (310) 390-1874
Website:
Authorized official contact:
Name: Motameni, Mercedeh Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9453T California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 9453T California
Eye and Vision Services Providers / Pediatrics 152WP0200X 9453T California
Eye and Vision Services Providers / Vision Therapy 152WV0400X 9453T California

Profile Details

NPI number 1437422185
LBN Legal business name Mercedeh Motameni, O.D., An Optometric Corporation
DBA Doing business as
Authorized official Motameni, Mercedeh Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2012
Last updated Jan 10th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437422185 NPPES
California MEDICAID SD0094530

Popular Providers