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IMPERIAL VALLEY OPTOMTRIC CORPORATION NPI 1508143827


NPI Information

NPI: 1508143827
Provider Name: IMPERIAL VALLEY OPTOMTRIC CORPORATION

Doing Business As: OPTOM-EYES VISION CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1113 IMPERIAL AVE. W.
STE 103
CALEXICO, CA
ZIP 92231
Phone: (760) 336-3003
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IMPERIAL VALLEY OPTOMTRIC CORPORATION is an optometrist in Calexico, 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. IMPERIAL VALLEY OPTOMTRIC CORPORATION NPI is 1508143827. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Optom-eyes Vision Care.

The provider's business location address is:

1113 IMPERIAL AVE. W.
STE 103
CALEXICO, CA
ZIP 92231
Phone: (760) 336-3003
Fax: (888) 210-5799

The provider's authorized official is May C Tam .
The authorized official title is Vice President and has the following contact phone number (760) 336-3003.

The enumeration date for this NPI number is 11/15/2011 and was last updated on 11/15/2011.


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
1152W00000XOptometristYes

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
1GSD005600MEDICAIDCALIFORNIA

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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