Glendora Optometry Apc

LBN: Glendora Optometry Apc
Glendora Optometry Apc is an health care organization with primary practice located at 852 S Grand Ave , Glendora CA 91740-4806. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Glendora Optometry Apc can be contacted via phone (626) 914-4815, or through Wong, Cecilia via phone (626) 914-4815.

Contact Information

Primary practice address
852 S Grand Ave Glendora CA 91740-4806
Phone: (626) 914-4815
Fax: (626) 914-0502
Website:
Map and Directions
Authorized official contact:
Name: Wong, Cecilia Doctor of Optometry (OD)
Phone: (626) 914-4815

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1811666506
LBN Legal business name Glendora Optometry Apc
DBA Doing business as
Authorized official Wong, Cecilia Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2021
Last updated Sep 7th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811666506 NPPES
California MEDICAID SD0107920

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