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NPI Code Detail

MEDICARE: DR. JON D VOGEL O.D.

MEDICARE: DR. JON D VOGEL O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management OptometristOP5343TCA

General Provider Information

NPI Number : 1245219583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JON D VOGEL O.D.
Provider Business Mailing Address
First Line : 1059 GAYLEY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-3401
Country : US
Telephone Number : 310-208-3011
Fax Number : 310-208-6831
Provider Business Practice Location Address
First Line : 1059 GAYLEY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-3401
Country : US
Telephone Number : 310-208-3011
Fax Number : 310-208-6831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 09/27/2019

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Directions to “ DR. JON D VOGEL O.D.” Practice Location

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