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:
Health care specialties
Specialty | Code | License # | 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 9 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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