Healthcare Provider Details

I. General information

NPI: 1518700277
Provider Name (Legal Business Name): LAURA BELLE MOREL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 LONG BEACH BLVD STE 400
LONG BEACH CA
90807-2008
US

IV. Provider business mailing address

3022 RIVOLI
NEWPORT BEACH CA
92660-9027
US

V. Phone/Fax

Practice location:
  • Phone: 562-591-7700
  • Fax: 562-591-1311
Mailing address:
  • Phone: 714-248-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT35711-TLG
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: