Paul J Super Od A Professional Corporation

LBN: Paul J Super Od A Professional Corporation
Paul J Super Od A Professional Corporation is an health care organization with primary practice located at 11777 San Vicente Blvd #130, Los Angeles CA 90049-5011. The organization recently has 6 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 / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Managed Care Organizations / Health Maintenance Organization. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Paul J Super Od A Professional Corporation can be contacted via phone (310) 820-2020, or through Super, Paul J via phone (310) 820-2020.

Contact Information

Primary practice address
11777 San Vicente Blvd #130 Los Angeles CA 90049-5011
Phone: (310) 820-2020
Fax: (310) 820-1884
Website:
Map and Directions
Authorized official contact:
Name: Super, Paul J Doctor of Optometry (OD)
Phone: (310) 820-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP8867TPG California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OP8867TPG California
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OP8867TPG California
Eye and Vision Services Providers / Pediatrics 152WP0200X OP8867TPG California
Eye and Vision Services Providers / Vision Therapy 152WV0400X OP8867TPG California
Managed Care Organizations / Health Maintenance Organization 302R00000X OPT8867T California

Profile Details

NPI number 1457681371
LBN Legal business name Paul J Super Od A Professional Corporation
DBA Doing business as
Authorized official Super, Paul J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2009
Last updated Mar 3rd, 2016 - 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.

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