PAUL J SUPER OD A PROFESSIONAL CORPORATION

Optometrist

Active Organization
NPI: 1457681371

Practice Address

11777 SAN VICENTE BLVD
#130
Los Angeles, CA 90049

Phone: (310) 820-2020

Specialties

Specialty Code Primary License
Health Maintenance Organization 302R00000X No OPT8867T (CA)
Optometrist - Vision Therapy 152WV0400X No OP8867TPG (CA)
Optometrist - Pediatrics 152WP0200X No OP8867TPG (CA)
Optometrist - Low Vision Rehabilitation 152WL0500X No OP8867TPG (CA)
Optometrist - Corneal and Contact Management 152WC0802X No OP8867TPG (CA)
Optometrist 152W00000X Yes OP8867TPG (CA)

Frequently Asked Questions

NPI 1457681371 is the National Provider Identifier for PAUL J SUPER OD A PROFESSIONAL CORPORATION, a Optometrist provider located in Los Angeles, CA. This NPI was enumerated on December 29, 2009.

Quick Facts

NPI
1457681371
Type
Organization
Enumerated
Dec 29, 2009
Last Updated
Mar 3, 2016

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