Healthcare Provider Details

I. General information

NPI: 1114524972
Provider Name (Legal Business Name): HELLO OPTOMETRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 N GLASSELL ST
ORANGE CA
92866-1406
US

IV. Provider business mailing address

141 N GLASSELL ST
ORANGE CA
92866-1406
US

V. Phone/Fax

Practice location:
  • Phone: 657-650-2020
  • Fax: 657-650-2021
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: EDWARD TRAN
Title or Position: CFO
Credential: OD
Phone: 657-650-2020