Pacific Optometry Vision, Inc.

LBN: Pacific Optometry Vision, Inc.
Pacific Optometry Vision, Inc. is an health care organization with primary practice located at 2402 S Azusa Ave , West Covina CA 91792-1512. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pacific Optometry Vision, Inc. can be contacted via phone (626) 810-4535, or through Nguyen, Phong Quoc via phone (626) 810-4535.

Contact Information

Primary practice address
2402 S Azusa Ave West Covina CA 91792-1512
Phone: (626) 810-4535
Fax: (626) 810-7371
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Phong Quoc Doctor of Optometry (OD)
Phone: (626) 810-4535

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11932T California

Profile Details

NPI number 1598923823
LBN Legal business name Pacific Optometry Vision, Inc.
DBA Doing business as
Authorized official Nguyen, Phong Quoc Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated Nov 25th, 2009 - about 15 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 1598923823 NPPES
California Other 6268104535 VSP
California MEDICAID SD0119320 VSP

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