20/10 Vision Care Optometry
Organization Active NPI Optometrist · Altadena, CA
NPI 1558618751 · NPPES record last updated Aug 7, 2012
Key facts
- NPI
- 1558618751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 10826T (CA)
- Legal business name
- 20/10 VISION CARE OPTOMETRY
- Practice address
- 2212 N. Lincoln Ave.
Altadena, CA 91001 - Phone
- (626) 296-8416
- Fax
- (626) 389-5434
- NPI assigned
- Aug 7, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Eileen Chang, O.D.
- Title
- Owner
- Phone
- (626) 296-8416
Practitioners 1
National Provider Directory
Locations
2212 Lincoln Ave
Altadena, CA 91001
Phone (626) 296-8416
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 10826T | CA | Yes |
Addresses
Primary practice location
2212 N. Lincoln Ave.
Altadena, CA 91001
Mailing address
2212 N. Lincoln Ave.
Altadena, CA 91001
Phone (626) 296-8416
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0108260 | Medicaid | CA |
Other providers in Altadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2012. 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.