Fashion Eyes Optometry

LBN: Soo Youn Kim Od Inc
Fashion Eyes Optometry is an health care organization with primary practice located at 14147 Pipeline Ave , Chino CA 91710-5618. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Soo Youn Kim Od Inc can be contacted via phone (909) 628-0300, or through Kim, Soo Youn via phone (909) 628-0300.

Contact Information

Primary practice address
14147 Pipeline Ave Chino CA 91710-5618
Phone: (909) 628-0300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Soo Youn Doctor of Optometry (OD)
Phone: (909) 628-0300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X OPT10349TPA California

Profile Details

NPI number 1053594846
LBN Legal business name Soo Youn Kim Od Inc
DBA Doing business as Fashion Eyes Optometry
Authorized official Kim, Soo Youn Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 14th, 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 1053594846 NPPES
California MEDICAID 0125235

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