National Provider Identifier Database

PAUL J SUPER OD A PROFESSIONAL CORPORATION
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

PAUL J SUPER OD A PROFESSIONAL CORPORATION
11777 SAN VICENTE BLVD
#130
LOS ANGELES, CA90049-5011
Phone: 310-820-2020
Fax: 310-820-1884
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Health Maintenance Organization 302R00000X
Low Vision Rehabilitation 152WL0500X
Pediatrics 152WP0200X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for PAUL J SUPER OD A PROFESSIONAL CORPORATION

NPI Number 1457681371
Legal business name
LBN
PAUL J SUPER OD A PROFESSIONAL CORPORATION
Authorized official PAUL SUPER - (OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 12/29/2009
Last updated 03/03/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: OP8867TPG
  • CA License #: OPT8867T

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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