OPTOMETRIC CENTER OF LOS ANGELES - NPI 1558467225 - Optometrist in Los Angeles, CA

Q: What is Marshall B. Ketchum University/University Eye Center At Los Angeles's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

On this page

About Optometric Center Of Los Angeles NPPES

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

OPTOMETRIC CENTER OF LOS ANGELES (NPI 1558467225) is a healthcare organization registered as an optometrist in Los Angeles, California and active in the NPI registry since September 2006. The organization lists Mark E. Nakeno, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1558467225

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMARSHALL B. KETCHUM UNIVERSITY/UNIVERSITY EYE CENTER AT LOS ANGELES

Location Address3916 S. BROADWAYLos Angeles, CA 90037

Mailing Address3916 S. BroadwayLos Angeles, CA 90037 · (323) 234-9137 · Fax (323) 235-6203

Phone(323) 234-9137

Fax(323) 235-6203

Organization SubpartYesParent: Marshall B. Ketchum University

Authorized OfficialMark E. NakenoClinic Director · (323) 234-9137

Enumeration DateSeptember 16, 2006

Last NPPES UpdateOctober 8, 2015

✔ NPI 1558467225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 5827 TPL

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.

3916 S. BROADWAY, Los Angeles, CA 90037

Open in Google Maps ↗

Other Names 1

Doing Business AsOptometric Center Of Los Angeles

Other Identifiers 4

MedicaidZZT 11740FCA

Medicare PIN44593CA

Medicare UPINWY1110CA

MedicaidZZT11740FCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall B. Ketchum University/University Eye Center At Los Angeles's NPI number?

The NPI number for Marshall B. Ketchum University/University Eye Center At Los Angeles is 1558467225. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Optometric Center Of Los Angeles.

Where is Marshall B. Ketchum University/University Eye Center At Los Angeles located?

Marshall B. Ketchum University/University Eye Center At Los Angeles is located at 3916 S. Broadway, Los Angeles, CA 90037. The listed phone number is (323) 234-9137.

What is Marshall B. Ketchum University/University Eye Center At Los Angeles's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Marshall B. Ketchum University/University Eye Center At Los Angeles was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.