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MAISON OPTIQUE OPTOMETRIC CENTER NPI 1528144011


NPI Information

NPI: 1528144011
Provider Name: MAISON OPTIQUE OPTOMETRIC CENTER
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
3525 PACIFIC COAST HWY
SUITE E
TORRANCE, CA
ZIP 90505
Phone: (310) 325-7799
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MAISON OPTIQUE OPTOMETRIC CENTER is an optometrist in Torrance, 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. MAISON OPTIQUE OPTOMETRIC CENTER NPI is 1528144011. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3525 PACIFIC COAST HWY
SUITE E
TORRANCE, CA
ZIP 90505-655
Phone: (310) 325-7799
Fax: (310) 325-7790

The provider's authorized official is Robert Enriquez Tamayo .
The authorized official title is Partnership/optometrist and has the following contact phone number (310) 325-7799.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 12/8/2009.


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
1152W00000XOptometrist10737TPLCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W18580MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GSD005160MEDICAIDCALIFORNIA
3U63789MEDICARE UPINCALIFORNIA
4WOP10737IMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
5WOP11969CMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
65436550001OTHERCALIFORNIAMEDICARE DME-MAC
7U92012MEDICARE UPINCALIFORNIA
8SDO107370MEDICAIDCALIFORNIA
95436550001MEDICARE NSCCALIFORNIA
10SDO119690MEDICAIDCALIFORNIA

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: 11/14/2023

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