ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION; NPI #1952456824

Contact Information

ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION

425 W CENTRAL AVE STE 102
LOMPOC, CA 93436

Phone: 805-736-2020
Fax: 805-737-1733
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

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NPI Profile & details for ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION

NPI #	`1952456824`
LBN Legal business name	ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Authorized official	KENNETH KENDALL - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/23/2007
Last updated	10/01/2018 - About 8 years ago
Identifiers	n/a

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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