Healthcare Provider Details

I. General information

NPI: 1275172728
Provider Name (Legal Business Name): GLOBAL EYECARE OPTOMETRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6765 WESTMINSTER BLVD C450
WESTMINSTER CA
92683-3769
US

IV. Provider business mailing address

6765 WESTMINSTER BLVD C450
WESTMINSTER CA
92683-3769
US

V. Phone/Fax

Practice location:
  • Phone: 714-897-1550
  • Fax: 714-897-3596
Mailing address:
  • Phone: 714-897-1550
  • Fax: 714-897-3596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ELAINE KAO
Title or Position: OWNER, OD
Credential: OD
Phone: 714-897-1550