Optometric Specialties Inc
LBN: Optometric Specialties Inc
Optometric Specialties Inc is an health care organization with primary practice located at 3750 Santa Rosalia Dr Ste 102 , Los Angeles CA 90008-3685. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Optometric Specialties Inc can be contacted via phone (323) 294-7517, or through Gaylord, Eric E via phone (323) 294-7517.
Contact Information
Primary practice address
3750 Santa Rosalia Dr Ste 102
Los Angeles CA 90008-3685
Phone: (323) 294-7517
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | COR 889 | California |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | COR 889 | California |
Profile Details
| NPI number | 1023094570 |
|---|---|
| LBN Legal business name | Optometric Specialties Inc |
| DBA Doing business as | |
| Authorized official | Gaylord, Eric E Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jun 16th, 2018 - about 7 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 | 1023094570 | NPPES |
| California | MEDICAID | GSD004160 |
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