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OLD TOWN OPTOMETRY INC NPI 1740621937


NPI Information

NPI: 1740621937
Provider Name: OLD TOWN OPTOMETRY INC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
78015 MAIN ST STE 107
LA QUINTA, CA
ZIP 92253
Phone: (760) 771-0715
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OLD TOWN OPTOMETRY INC is a corneal and contact management optometrist in La Quinta, CA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. OLD TOWN OPTOMETRY INC NPI is 1740621937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

78015 MAIN ST STE 107
LA QUINTA, CA
ZIP 92253-420
Phone: (760) 771-0715
Fax: (760) 771-2033

The provider's authorized official is Ronald Owen Jensen .
The authorized official title is Ceo and has the following contact phone number (760) 771-0715.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 7/16/2013.


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
1152WC0802XOptometristCorneal and Contact ManagementYes

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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