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PAUL J SUPER OD A PROFESSIONAL CORPORATION NPI 1457681371


NPI Information

NPI: 1457681371
Provider Name: PAUL J SUPER OD A PROFESSIONAL CORPORATION
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
11777 SAN VICENTE BLVD
#130
LOS ANGELES, CA
ZIP 90049
Phone: (310) 820-2020
Get Directions

PAUL J SUPER OD A PROFESSIONAL CORPORATION is an optometrist in Los Angeles, CA. The provider is 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PAUL J SUPER OD A PROFESSIONAL CORPORATION NPI is 1457681371. The provider is registered as an organization entity type.

The provider's business location address is:

11777 SAN VICENTE BLVD
#130
LOS ANGELES, CA
ZIP 90049-011
Phone: (310) 820-2020
Fax: (310) 820-1884

The provider's authorized official is Paul J Super .
The authorized official title is Optometrist and has the following contact phone number (310) 820-2020.

The enumeration date for this NPI number is 12/29/2009 and was last updated on 3/3/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1302R00000XHealth Maintenance OrganizationOPT8867TCALIFORNIANo
2152WV0400XOptometristVision TherapyOP8867TPGCALIFORNIANo
3152WP0200XOptometristPediatricsOP8867TPGCALIFORNIANo
4152WL0500XOptometristLow Vision RehabilitationOP8867TPGCALIFORNIANo
5152WC0802XOptometristCorneal and Contact ManagementOP8867TPGCALIFORNIANo
6152W00000XOptometristOP8867TPGCALIFORNIAYes

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: 4/28/2024

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