Silver Od Pc & Taketa Od Pc A Partnership Of Opt Corp

NPI 1114948866 - Optometrist - 152W00000X

NPI Details
NPI 1114948866
Enumeration Date 07/21/2006
Last Updated 06/19/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD LEE RICHARD
Position OWNER
Phone (310) 829-0055
Fax (310) 453-2971
Practice Location
2901 WILSHIRE BLVD
SUITE 100
SANTA MONICA CA, 90403-4901, US
Phone (310) 829-0055
Fax (310) 453-2971
Business Location
2901 WILSHIRE BLVD
SUITE 100
SANTA MONICA CA, 90403-4901, US
Phone (310) 829-0055
Fax (310) 453-2971
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number OPT9103TPA
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According to our database, Silver Od Pc & Taketa Od Pc A Partnership Of Opt Corp NPI is 1114948866, taxonomy code is 152W00000X and license number is OPT9103TPA, license state is located at California. Silver Od Pc & Taketa Od Pc A Partnership Of Opt Corp physically located at 2901 Wilshire Blvd, Santa Monica CA, 90403-4901. NPI Number 1033115704 has the healthcare provider type.

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1114948866 NPI number is provided on an as is basis without warranty of any kind. 1114948866 is maintained by the National Plan & Provider Enumeration System. The contents of Silver Od Pc & Taketa Od Pc A Partnership Of Opt Corp are for informational purposes only.