PAUL J SUPER OD A PROFESSIONAL CORPORATION - NPI 1457681371

Q: What is the provider's specialty?

The provider's specialty is Optometrist with taxonomy code 152W00000X.

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About Paul J Super Od A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL J SUPER OD A PROFESSIONAL CORPORATION (NPI 1457681371) is a healthcare organization registered as an optometrist in Los Angeles, California and active in the NPI registry since December 2009. The organization lists Paul J Super, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1457681371

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePAUL J SUPER OD A PROFESSIONAL CORPORATION

Location Address11777 SAN VICENTE BLVD, #130Los Angeles, CA 90049-5011

Mailing Address11777 San Vicente Blvd, #130Los Angeles, CA 90049-5011 · (310) 820-2020 · Fax (310) 820-1884

Phone(310) 820-2020

Fax(310) 820-1884

Organization SubpartNo

Authorized OfficialPaul J SuperOptometrist · (310) 820-2020

Enumeration DateDecember 29, 2009

Last NPPES UpdateMarch 3, 2016

✔ NPI 1457681371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · OP8867TPG

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OP8867TPG (CA)

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License OP8867TPG (CA)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License OP8867TPG (CA)

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License OP8867TPG (CA)

Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X · License OPT8867T (CA)

11777 SAN VICENTE BLVD, Los Angeles, CA 90049

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