Paul Jonathan Super in Los Angeles - Optometrist
Paul Jonathan Super - NPI 1649499807
Paul Jonathan Super is a Optometrist in Los Angeles, California. Paul Jonathan Super practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Paul Jonathan Super is 1649499807. The last update date is 2020-12-23.
Paul Jonathan Super's current location address is 11696 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3108202020 and fax number 3108201884. The mailing address for Paul Jonathan Super is 11696 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Jonathan Super |
|---|---|
| Address | 11696 San Vicente Blvd, Los Angeles, California |
| Phone Number | 3108202020 |
| Fax Number | 3108201884 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1649499807 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | 11696 San Vicente Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900495104 |
| Phone Number | 3108202020 |
| Fax Number | 3108201884 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT8867 |
|
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 |
|
Post Comment/ Review Below
What is the Paul Jonathan Super's unique identification number?
The Paul Jonathan Super has been assigned the NPI (National Provider Identifier) Number 1649499807 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Paul Jonathan Super's facilities are situated?
The facilities of Paul Jonathan Super are physically located at the following address: 11696 San Vicente Blvd, Los Angeles, CA, 900495104.
What is Paul Jonathan Super's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Jonathan Super is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Paul Jonathan Super receive its 1649499807 assignment from the Centers for Medicare & Medicaid Services?
The Paul Jonathan Super was assigned its 1649499807 by the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the information pertaining to Paul Jonathan Super most recently updated or revised?
The details related to Paul Jonathan Super, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-23.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE
NPI Number: 1255325304
Address: 225 Abraham Flexner Way Ste 650, Louisville, KY