2 See Optometry
Organization Active NPI Primary Care Clinic/Center · La Crescenta, CA
NPI 1497275440 · NPPES record last updated Jun 21, 2017
Key facts
- NPI
- 1497275440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 11143T (CA)
- Legal business name
- 2 SEE OPTOMETRY
- Practice address
- 3115 Foothill Blvd Ste D
La Crescenta, CA 91214-4237 - Phone
- (818) 832-4646
- Fax
- (818) 368-9898
- NPI assigned
- Jun 21, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- VISIONMAX OPTOMETRY
Authorized official
- Name
- Dr. Catherine Junghye Han, OD
- Title
- Doctor
- Phone
- (818) 832-4646
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Visionmax Optometry
Locations
3115 Foothill Blvd
Ste D
La Crescenta, CA 91214
Phone (818) 369-7787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 11143T | CA | Yes |
Addresses
Primary practice location
3115 Foothill Blvd Ste D
La Crescenta, CA 91214-4237
Mailing address
5060 Angeles Crest Hwy
La Canada, CA 91011-2368
Phone (818) 790-5670
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0111430 | Medicaid | CA |
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All providers in La Crescenta, CA · Primary Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2017. 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.