Supervision Optometry Inc

LBN: Supervision Optometry Inc
Supervision Optometry Inc is an health care organization with primary practice located at 1200 S Sunset Ave Suite #1, West Covina CA 91790-3903. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Supervision Optometry Inc can be contacted via phone (626) 962-2839, or through Lee, Chieh Ju via phone (626) 962-2839.

Contact Information

Primary practice address
1200 S Sunset Ave Suite #1 West Covina CA 91790-3903
Phone: (626) 962-2839
Fax: (626) 962-1819
Website:
Map and Directions
Authorized official contact:
Name: Lee, Chieh Ju Doctor of Optometry (OD)
Phone: (626) 962-2839

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CA13182T California

Profile Details

NPI number 1194998443
LBN Legal business name Supervision Optometry Inc
DBA Doing business as
Authorized official Lee, Chieh Ju Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 16 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 1194998443 NPPES
California MEDICAID SD0131820

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