Vision San Gabriel Optometry, Inc.

LBN: Vision San Gabriel Optometry, Inc.
Vision San Gabriel Optometry, Inc. is an health care organization with primary practice located at 720 E Valley Blvd , San Gabriel CA 91776-3547. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Vision San Gabriel Optometry, Inc. can be contacted via phone (626) 288-8097, or through Chung, James Y. via phone (626) 288-8097.

Contact Information

Primary practice address
720 E Valley Blvd San Gabriel CA 91776-3547
Phone: (626) 288-8097
Fax: (626) 288-8360
Website:
Map and Directions
Authorized official contact:
Name: Chung, James Y. Doctor of Optometry (OD)
Phone: (626) 288-8097

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11494T California

Profile Details

NPI number 1225168719
LBN Legal business name Vision San Gabriel Optometry, Inc.
DBA Doing business as
Authorized official Chung, James Y. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1225168719 NPPES
California MEDICAID SD0114940

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