Alta Loma Optometric Center

LBN: Stephen R. Keller, O.D., Inc.
Alta Loma Optometric Center is an health care organization with primary practice located at 9596 Baseline Rd , Rancho Cucamonga CA 91701-5034. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Stephen R. Keller, O.D., Inc. can be contacted via phone (909) 989-1791, or through Keller, Stephen Robert via phone (909) 989-1791.

Contact Information

Primary practice address
9596 Baseline Rd Rancho Cucamonga CA 91701-5034
Phone: (909) 989-1791
Fax: (909) 989-0782
Website:
Map and Directions
Authorized official contact:
Name: Keller, Stephen Robert Doctor of Optometry (OD)
Phone: (909) 989-1791

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT10085T California

Profile Details

NPI number 1619019197
LBN Legal business name Stephen R. Keller, O.D., Inc.
DBA Doing business as Alta Loma Optometric Center
Authorized official Keller, Stephen Robert Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Dec 3rd, 2007 - about 18 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 1619019197 NPPES
California MEDICAID GSD003130

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