Paul J Super Od A Professional Corporation is a Optometrist Center in Los Angeles, California. It is situated at 11777 San Vicente Blvd, #130, Los Angeles and its contact number is 310-820-2020. The authorized person of Paul J Super Od A Professional Corporation is Dr. Paul J Super
who is Optometrist of the clinic and their contact number is 310-820-2020. Primary license number for Paul J Super Od A Professional Corporation is OP8867TPG (Optometrist) in California.
Paul J Super Od A Professional Corporation Center have optometrists who can 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. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Paul J Super Od A Professional Corporation Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
| Specialization: | Optometry |
| Clinic Address: | 11777 San Vicente Blvd, #130, Los Angeles,
California, 90049-5011 |
| Phone: | 310-820-2020 |
| Fax: | 310-820-1884 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Paul J Super |
| Position: | Optometrist |
| Contact Number: | 310-820-2020 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Paul J Super Od A Professional Corporation Center are as mentioned below.
| NPI Number: | 1457681371 |
| NPI Enumeration Date: | 29 Dec, 2009 |
| NPI Last Update On: | 03 Mar, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul J Super Od A Professional Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Optometrist | OP8867TPG | California | Primary | |
| Corneal and Contact Management | OP8867TPG | California | Secondary | |
| Low Vision Rehabilitation | OP8867TPG | California | Secondary | |
| Pediatrics | OP8867TPG | California | Secondary | |
| Vision Therapy | OP8867TPG | California | Secondary | |
| Health Maintenance Organization | OPT8867T | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Paul J Super Od A Professional Corporation
11777 San Vicente Blvd, #130
Los Angeles, California |
| Zip: | 90049-5011 |
| Phone Number: | 310-820-2020 |
| Fax Number: | 310-820-1884 |
Patients can reach Paul J Super Od A Professional Corporation at
11777 San Vicente Blvd, #130, Los Angeles, California or can
call to book an appointment on 310-820-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.