Healthcare Provider Details

I. General information

NPI: 1538737382
Provider Name (Legal Business Name): COMPTON EYECARE OPTOMETRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 E COMPTON BLVD
COMPTON CA
90221-3206
US

IV. Provider business mailing address

318 E COMPTON BLVD
COMPTON CA
90221-3206
US

V. Phone/Fax

Practice location:
  • Phone: 310-631-3660
  • Fax: 310-631-9264
Mailing address:
  • Phone: 310-631-3660
  • Fax: 310-631-9264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FRANCIS VU
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 310-631-3660