National Provider Identifier Database

IMPERIAL VALLEY OPTOMTRIC 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

IMPERIAL VALLEY OPTOMTRIC CORPORATION
1113 IMPERIAL AVE. W.
STE 103
CALEXICO, CA92231
Phone: 760-336-3003
Fax: 888-210-5799
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for IMPERIAL VALLEY OPTOMTRIC CORPORATION

NPI Number 1508143827
Legal business name
LBN
IMPERIAL VALLEY OPTOMTRIC CORPORATION
Authorized official MAY TAM - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/15/2011
Last updated 11/15/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GSD005600

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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