NPI | 1710190251 |
---|---|
Doing Business As | MODERN OPTOMETRY |
Entity Type | Organization |
Authorized Contact | BABAK KAMKAR CEO, Owner, Doctor 818-500-8008 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT8512TLG) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA OPT8512TLG) |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA OPT8512TLG) | |
152WP0200X Optometrist, Pediatrics (Licence: CA OPT8512TLG) | |
152WX0102X Optometrist, Occupational Vision (Licence: CA OPT8512TLG) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2021-10-27 |