Complete Eye Care Center
Organization Active NPI Optician · Lawndale, CA
NPI 1265658694 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1265658694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- License
- 03621 (CA)
- Legal business name
- COMPLETE EYE CARE CENTER
- Practice address
- 17001 Hawthorne Blvd
Lawndale, CA 90260-3302 - Phone
- (310) 370-7575
- Fax
- (310) 370-6227
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Adam Rossie
- Title
- Manager
- Phone
- (310) 370-7575
Practitioners 1
-
Jodi Lynn Clark, O.D.
National Provider Directory
Locations
17001 Hawthorne Blvd
Lawndale, CA 90260
Phone (310) 370-3360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | 03621 | CA | Yes |
Addresses
Primary practice location
17001 Hawthorne Blvd
Lawndale, CA 90260-3302
Mailing address
17001 Hawthorne Blvd
Lawndale, CA 90260-3302
Phone (310) 370-7575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9231 | Other | CA | MEDICAL EYE SERVICES |
| DX006426F | Medicaid | CA |
Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.