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ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION NPI 1952456824


NPI Information

NPI: 1952456824
Provider Name: ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION

Doing Business As: KENDALL-SHEPARD OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
425 W CENTRAL AVE STE 102
LOMPOC, CA
ZIP 93436
Phone: (805) 736-2020
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ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION is an eyewear supplier in Lompoc, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION NPI is 1952456824. The provider is registered as an organization entity type.
The provider Is Doing Business As Kendall-shepard Optical.

The provider's business location address is:

425 W CENTRAL AVE STE 102
LOMPOC, CA
ZIP 93436
Phone: (805) 736-2020
Fax: (805) 737-1733

The provider's authorized official is Kenneth Kendall .
The authorized official title is Ceo and has the following contact phone number (805) 736-2020.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/1/2018.


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
1332H00000XEyewear SupplierYes

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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