Pomona Valley Optometry Inc

LBN: Pomona Valley Optometry Inc
Pomona Valley Optometry Inc is an health care organization with primary practice located at 1900 Royalty Dr Ste 100, Pomona CA 91767-3048. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pomona Valley Optometry Inc can be contacted via phone (909) 469-4804, or through Le, Khanh Van via phone (909) 469-4804.

Contact Information

Primary practice address
1900 Royalty Dr Ste 100 Pomona CA 91767-3048
Fax: (909) 469-4807
Website:
Authorized official contact:
Name: Le, Khanh Van Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1316911100
LBN Legal business name Pomona Valley Optometry Inc
DBA Doing business as
Authorized official Le, Khanh Van Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2006
Last updated Sep 20th, 2023 - about last year

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 1316911100 NPPES
California MEDICAID SD0095951

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