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General NPI Number Information
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NPI Number | 1881499598
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Entity Type | Organization
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Legal Business Name | ALAMEDA FAMILY OPTOMETRY, INC.
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 4501 S ALAMEDA ST UNIT G2930
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City | VERNON
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State | CA
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Zip | 90058-2010
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Country | US
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Telephone | 323-231-0005
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Fax | 323-231-0006
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Provider Business Mailing Address
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Address Line | PO BOX 58125
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City | VERNON
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State | CA
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Zip | 90058-0125
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Country | US
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Telephone | 323-231-0005
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Fax | 323-231-0006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOVHANNES HOVHANNISYAN
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Credential | OD
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Telephone | 818-397-3523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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