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Contact Information

EASTLAKE LASER EYE ASSOCIATES
890 EASTLAKE PARKWAY
SUITE 205
CHULA VISTA, CA91914
 Phone: 619-216-0400
 Fax: 619-216-0440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ocularist

156FX1700X
Indicates primary specialty

NPI Profile & details for EASTLAKE LASER EYE ASSOCIATES

NPI Number 1629152814
LBN Legal business name EASTLAKE LASER EYE ASSOCIATES
Authorized official RICHARD SABLE - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # G56599
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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