MEDICARE: ALL VALLEY EYE INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G10895	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669583746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL VALLEY EYE INSTITUTE

Provider Business Mailing Address
First Line	:	18200 ERWIN ST
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91335-7024
Country	:	US
Telephone Number	:	310-274-6601
Fax Number	:	310-285-9846

Provider Business Practice Location Address
First Line	:	9033 WILSHIRE BLVD
Second Line	:	SUITE 206
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1837
Country	:	US
Telephone Number	:	310-274-6601
Fax Number	:	310-285-9846

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MELVIN LERNER
Credential	:	M.D.
Telephone Number	:	310-274-6601

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	10/02/2007

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Directions to “ALL VALLEY EYE INSTITUTE ” Practice Location

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