The Eye Shop

NPI 1285862243 - Optometrist - 152W00000X

NPI Details
NPI 1285862243
Enumeration Date 06/29/2009
Last Updated 06/29/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LAURA J. LAURA
Position OWNER
Phone (310) 221-1166
Fax
Practice Location
288 E LIVE OAK AVE
UNIT D
ARCADIA CA, 91006-5629, US
Phone (310) 221-1166
Fax
Business Location
221 S OAK KNOLL AVE
#206
PASADENA CA, 91101-4301, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 12762T
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According to our database, The Eye Shop NPI is 1285862243, taxonomy code is 152W00000X and license number is 12762T, license state is located at California. The Eye Shop physically located at 288 E Live Oak Ave, Arcadia CA, 91006-5629. NPI Number 1033115704 has the healthcare provider type.

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1285862243 NPI number is provided on an as is basis without warranty of any kind. 1285862243 is maintained by the National Plan & Provider Enumeration System. The contents of The Eye Shop are for informational purposes only.