South Gate Optometry Inc in South Gate - Optometrist
South Gate Optometry Inc - NPI 1154514370
South Gate Optometry Inc is a Optometrist in South Gate, California. South Gate Optometry Inc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for South Gate Optometry Inc is 1154514370. The last update date is 2009-02-19.
South Gate Optometry Inc's current location address is 3329 Tweedy Blvd, South Gate, California. You can contact this provider via phone number 3235666183. The mailing address for South Gate Optometry Inc is 3329 Tweedy Blvd, South Gate, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Gate Optometry Inc |
|---|---|
| Address | 3329 Tweedy Blvd, South Gate, California |
| Phone Number | 3235666183 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pennino M Anna |
| Credentials | O.D. |
| Telephone Number | 3235666183 |
NPI Number Detail
| NPI Number | 1154514370 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2009-02-19 |
Provider Mailing Address Detail
| Address | 3329 Tweedy Blvd |
|---|---|
| City | South Gate |
| State | California (CA) |
| Post Code | 902804324 |
| Phone Number | 3235666183 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 9996T |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0099960 | CA | -- |
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What is the unique 10-digit identification code issued to South Gate Optometry Inc by the Centers for Medicare & Medicaid Services?
The South Gate Optometry Inc has been assigned the NPI (National Provider Identifier) 1154514370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of South Gate Optometry Inc?
The South Gate Optometry Inc is situated at 3329 Tweedy Blvd, in the city of South Gate, state of CA, with the zip code 902804324.
What is the South Gate Optometry Inc's area of specialization and corresponding taxonomy classification?
The South Gate Optometry Inc's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the South Gate Optometry Inc receive the assignment of its 1154514370 from the Centers for Medicare & Medicaid Services?
The South Gate Optometry Inc was issued its 1154514370 by the Centers for Medicare & Medicaid Services on 2007-08-21.
As of what date were the details related to South Gate Optometry Inc most recently updated or revised?
The information pertaining to South Gate Optometry Inc, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-19.
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