Organization · Type 2 NPI

Paul J Super Od A Professional Corporation

Optometrist · Los Angeles, CA

NPI number 1457681371 Active

Practice location

11777 San Vicente Blvd, #130
Los Angeles, CA 90049-5011

Fax (310) 820-1884

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XOP8867TPG (CA)
Corneal and Contact Management Optometrist 152WC0802XOP8867TPG (CA)
Low Vision Rehabilitation Optometrist 152WL0500XOP8867TPG (CA)
Pediatric Optometrist 152WP0200XOP8867TPG (CA)
Vision Therapy Optometrist 152WV0400XOP8867TPG (CA)
Health Maintenance Organization 302R00000XOPT8867T (CA)

Optometrist: 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 e…

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About NPI 1457681371

Paul J Super Od A Professional Corporation's National Provider Identifier is 1457681371, issued on Dec 29, 2009. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 3, 2016.