Spectrum Eyecare Optometry Inc
LBN: Spectrum Eyecare Optometry Inc
Spectrum Eyecare Optometry Inc is an health care organization with primary practice located at 425 W Bonita Ave Suite 110B, San Dimas CA 91773-2541. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Spectrum Eyecare Optometry Inc can be contacted via phone (909) 394-0462, or through Swearingen, David Ashley via phone (909) 394-0462.
Contact Information
Primary practice address
425 W Bonita Ave Suite 110B
San Dimas CA 91773-2541
Phone: (909) 394-0462
Fax:
Website:
Authorized official contact:
Name: Swearingen, David Ashley Doctor of Optometry (OD)
Phone: (909) 394-0462
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11528T | California |
Profile Details
| NPI number | 1801949573 |
|---|---|
| LBN Legal business name | Spectrum Eyecare Optometry Inc |
| DBA Doing business as | |
| Authorized official | Swearingen, David Ashley Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 10th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801949573 | NPPES |
| California | Other | 5892280001 | PTAN |
| California | Other | W20601 | PTAN |
| California | Other | DF7961 | PTAN |
| California | Other | P00393465 | PTAN |
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