SACKS OPTICAL BOUTIQUE LLC NPI 1942537089

NPI Information

  • NPI: 1942537089
  • Provider Name: SACKS OPTICAL BOUTIQUE, LLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 1125 S BEVERLY DR
    710
    LOS ANGELES, CA
    ZIP 90035
  • Phone: (310) 275-1676

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NPI Details

SACKS OPTICAL BOUTIQUE, LLC is an eyewear supplier in Los Angeles, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SACKS OPTICAL BOUTIQUE, LLC NPI is 1942537089. The provider is registered as an organization entity type.

The provider's business location address is:

1125 S BEVERLY DR
710
LOS ANGELES, CA
ZIP 90035-148
Phone: (310) 275-1676

The provider's authorized official is Robert David Sacks .
The authorized official title is President and has the following contact phone number (310) 275-1676.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 9/22/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierG64460CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16328250001MEDICARE NSCCALIFORNIA

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: 11/21/2025

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