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Contact Information

OPTOMETRIC EYESITE INC
10939 WEST PICO BLVD
LOS ANGELES, CA90064
 Phone: 310-899-0077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for OPTOMETRIC EYESITE INC · (Female)

NPI # 1003193558
Status Active
Credentials
Entity Individual
Enumeration date 11/11/2011
Last updated 02/14/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 13664TLG
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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