| 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 |