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NPI Code Detail

MEDICARE: LOEW VISION REHABILITATION INSTITUTE, INC

MEDICARE: LOEW VISION REHABILITATION INSTITUTE, 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
1103TC0700XClinical Psychologist
2152W00000XOptometrist
3225XL0004XLow Vision Occupational Therapist
4152WL0500XLow Vision Rehabilitation Optometrist

General Provider Information

NPI Number : 1942594742
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOEW VISION REHABILITATION INSTITUTE, INC
Provider Business Mailing Address
First Line : 239 SOUTH LA CIENEGA BLVD
Second Line : SUITE 100
City : BEVERLY HILLS
State : CA
Zip : 90211-3319
Country : US
Telephone Number : 310-553-0100
Fax Number : 424-288-4893
Provider Business Practice Location Address
First Line : 239 SOUTH LA CIENEGA BLVD
Second Line : SUITE 100
City : BEVERLY HILLS
State : CA
Zip : 90211-3319
Country : US
Telephone Number : 310-553-0100
Fax Number : 424-288-4893
Authorized Official
Title or Position : PRESIDENT
Name : FRANCES G LOEW
Credential :
Telephone Number : 310-472-4782
Provider Enumeration Date : 06/09/2011
Last Update Date : 06/09/2011

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