Lowell J. Booth Optometrist

LBN: Lowell J. Booth Optometrist
Lowell J. Booth Optometrist is an health care organization with primary practice located at 1102 Irvine Blvd , Tustin CA 92780-3529. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Lowell J. Booth Optometrist can be contacted via phone (714) 838-3210, or through Lee, Johanna via phone (714) 838-3210.

Contact Information

Primary practice address
1102 Irvine Blvd Tustin CA 92780-3529
Phone: (714) 838-3210
Fax: (714) 838-5702
Website:
Map and Directions
Authorized official contact:
Name: Lee, Johanna
Phone: (714) 838-3210

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT-4984-TPL California

Profile Details

NPI number 1306066006
LBN Legal business name Lowell J. Booth Optometrist
DBA Doing business as
Authorized official Lee, Johanna
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Jan 23rd, 2009 - about 17 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 1306066006 NPPES
California MEDICAID SD0049840

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