Simon, Keith A

Simon, Keith A is an sole proprietor health care provider with primary practice located at 604 Rose Ave Venice Family Clinic/Optometry Dept., Venice CA 90291-2767. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Simon, Keith A can be contacted via phone (310) 392-8636.

Contact Information

Primary practice address
604 Rose Ave Venice Family Clinic/Optometry Dept. Venice CA 90291-2767
Phone: (310) 392-8636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10592 TPG California

Profile Details

NPI number 1821069311
LBN Legal business name Simon, Keith A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Feb 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers