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NPI Code Detail

MEDICARE: EYE MAX OPTICS INC

MEDICARE: EYE MAX OPTICS INC
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
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1568353852
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE MAX OPTICS INC
Provider Business Mailing Address
First Line : 3359 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-1803
Country : US
Telephone Number : 213-382-2777
Fax Number : 213-341-1842
Provider Business Practice Location Address
First Line : 3359 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-1803
Country : US
Telephone Number : 213-382-2777
Fax Number : 213-341-1842
Authorized Official
Title or Position : OWNER
Name : BYUNG JUN AN
Credential : OPTICIAN
Telephone Number : 213-905-3706
Provider Enumeration Date : 07/14/2025
Last Update Date : 07/14/2025

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Directions to “EYE MAX OPTICS INC ” Practice Location

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