Healthcare Provider Details

I. General information

NPI: 1801826813
Provider Name (Legal Business Name): EYE CARE WEST OPTOMETRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 05/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14329 WOODRUFF AVE SUITE E
BELLFLOWER CA
90706-3260
US

IV. Provider business mailing address

14329 WOODRUFF AVE SUITE E
BELLFLOWER CA
90706-3260
US

V. Phone/Fax

Practice location:
  • Phone: 562-867-8302
  • Fax: 562-867-7046
Mailing address:
  • Phone: 562-867-8302
  • Fax: 562-867-7046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY JOSEPH HUANG
Title or Position: PRESIDENT
Credential: O.D.
Phone: 562-867-8302