Individual provider · Type 1 NPI
Paul Jonathan Super, OD
Optometrist · Los Angeles, CA
Practice location
11696 San Vicente Blvd
Los Angeles, CA 90049-5104
Fax (310) 820-1884
Other practice locations
- 2940 N Beverly Glen Cir, Los Angeles, CA 90077-1724 · (310) 820-2020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OP8867TPG (CA) |
| Optometrist Primary | 152W00000X | OPT8867 (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 1649499807
Paul Jonathan Super, OD's National Provider Identifier is 1649499807, issued on Apr 25, 2007. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 23, 2020.