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NPI Code Detail

MEDICARE: JEREMY ANDIA OPTOMETRY, PROFESSIONAL CORPORATION

MEDICARE: JEREMY ANDIA OPTOMETRY, PROFESSIONAL CORPORATION
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1972456911
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEREMY ANDIA OPTOMETRY, PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 804 S VICTORY BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91502-2427
Country : US
Telephone Number : 623-910-4209
Fax Number :
Provider Business Practice Location Address
First Line : 804 S VICTORY BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91502-2427
Country : US
Telephone Number : 623-910-4209
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. JEREMY ANDIA
Credential : OD
Telephone Number : 623-910-4209
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “JEREMY ANDIA OPTOMETRY, PROFESSIONAL CORPORATION ” Practice Location

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