Healthcare Provider Details

I. General information

NPI: 1376479675
Provider Name (Legal Business Name): SUMMER MCGEEVER OD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 W REDONDO BEACH BLVD STE 1
GARDENA CA
90247-3200
US

IV. Provider business mailing address

35 NORTH AVE
MENDON MA
01756-1034
US

V. Phone/Fax

Practice location:
  • Phone: 310-324-8205
  • Fax:
Mailing address:
  • Phone: 903-245-9744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SUMMER MCGEEVER
Title or Position: OWNER AND OPTOMETRIST
Credential: OD
Phone: 903-245-9744