Marina Eyecare Center in Los Angeles - Optometrist
Marina Eyecare Center - NPI 1407917701
Marina Eyecare Center is a Optometrist in Los Angeles, California. Marina Eyecare Center practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Marina Eyecare Center is 1407917701. The last update date is 2018-03-01.
Marina Eyecare Center's current location address is 12461 W Washington Blvd, Los Angeles, California. You can contact this provider via phone number 3103906287 and fax number 3103918464. The mailing address for Marina Eyecare Center is 12461 W Washington Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marina Eyecare Center |
|---|---|
| Address | 12461 W Washington Blvd, Los Angeles, California |
| Phone Number | 3103906287 |
| Fax Number | 3103918464 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Matsumoto M Donald |
| Credentials | O.D. |
| Telephone Number | 3103906287 |
NPI Number Detail
| NPI Number | 1407917701 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2018-03-01 |
Provider Mailing Address Detail
| Address | 12461 W Washington Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900665511 |
| Phone Number | 3103906287 |
| Fax Number | 3103918464 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 7001T |
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Definition: 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 |
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What is the unique provider identifier assigned to Marina Eyecare Center?
The Marina Eyecare Center has been issued the NPI (National Provider Identifier) 1407917701 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Marina Eyecare Center is geographically located?
The Marina Eyecare Center is physically situated at the following location: 12461 W Washington Blvd, Los Angeles, CA, 900665511.
What is the Marina Eyecare Center's specialty and taxonomy code?
The Marina Eyecare Center's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When did the Marina Eyecare Center receive its 1407917701?
The Marina Eyecare Center was issued its 1407917701 on 2006-12-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Marina Eyecare Center most recently updated or revised?
The information pertaining to Marina Eyecare Center, including its address, specialty, and other relevant details, was last updated or revised on 2018-03-01.
NPI Number: 1336142389
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