MEDICARE: DR. CARL GARBUS 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
1	152WV0400X	Vision Therapy Optometrist	6925T	CA

General Provider Information

NPI Number	:	1952468878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL GARBUS O.D.

Provider Business Mailing Address
First Line	:	28089 SMYTH DR
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4023
Country	:	US
Telephone Number	:	661-775-1860
Fax Number	:	661-775-9627

Provider Business Practice Location Address
First Line	:	28089 SMYTH DR
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4023
Country	:	US
Telephone Number	:	661-775-1860
Fax Number	:	661-775-9627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/14/2015

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