San Clemente Optometry Corp

LBN: San Clemente Optometry Corp
San Clemente Optometry Corp is an health care organization with primary practice located at 224 Avenida Del Mar Suite A, San Clemente CA 92672-4011. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. San Clemente Optometry Corp can be contacted via phone (949) 492-2029, or through Nota, David J via phone (949) 492-2029.

Contact Information

Primary practice address
224 Avenida Del Mar Suite A San Clemente CA 92672-4011
Phone: (949) 492-2029
Fax: (949) 492-0049
Website:
Map and Directions
Authorized official contact:
Name: Nota, David J Doctor of Optometry (OD)
Phone: (949) 492-2029

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10391T California

Profile Details

NPI number 1427366145
LBN Legal business name San Clemente Optometry Corp
DBA Doing business as
Authorized official Nota, David J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2010
Last updated Apr 18th, 2011 - about 13 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 1427366145 NPPES
California MEDICAID SD0103910

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