ADVANCED EYE SPECIALISTS LLC NPI 1376163337

NPI Information

NPI: 1376163337
Provider Name: ADVANCED EYE SPECIALISTS, LLC
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

CLIA Number: 05D2131370

Address:
17750 SHERMAN WAY STE 100
RESEDA, CA
ZIP 91335
Phone: (818) 886-6700
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ADVANCED EYE SPECIALISTS, LLC is an ophthalmologic surgery clinic center in Reseda, CA. ADVANCED EYE SPECIALISTS, LLC NPI is 1376163337. The provider is registered as an organization entity type.

The provider's business location address is:

17750 SHERMAN WAY STE 100
RESEDA, CA
ZIP 91335-331
Phone: (818) 886-6700
Fax: (818) 886-6709

The provider's authorized official is Sanjay Logani .
The authorized official title is Ceo/owner and has the following contact phone number (818) 886-6700.

The CLIA number assigned to this NPI record is 05D2131370 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2020 and was last updated on 4/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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