| Paul J Super Od A Professional Corporation | |
|
11777 San Vicente Blvd, #130, Los Angeles, CA 90049-5011 | |
| (310) 820-2020 | |
| (310) 820-1884 |
| Full Name | Paul J Super Od A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11777 San Vicente Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457681371 | NPI | - | NPPES |
| Provider Name | Paul J Super |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649499807 PECOS PAC ID: 7911988142 Enrollment ID: I20040525001014 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul J Super Od A Professional Corporation 11777 San Vicente Blvd, #130, Los Angeles, CA 90049-5011 Ph: (310) 820-2020 | Paul J Super Od A Professional Corporation 11777 San Vicente Blvd, #130, Los Angeles, CA 90049-5011 Ph: (310) 820-2020 |
Roxana Gilda De La Rosa, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 1/2 S Vermont Ave, Los Angeles, CA 90004 Phone: 213-383-8036 | |
Dr. Lernik Torossian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 835 W Jefferson Blvd Unit 7-d, Los Angeles, CA 90089 Phone: 323-442-6335 | |
Optometric Eyesite Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10939 West Pico Blvd, Los Angeles, CA 90064 Phone: 310-899-0077 | |
Vision To Learn Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Wilshire Blvd Ste 1275, Los Angeles, CA 90025 Phone: 800-485-9196 Fax: 213-402-5261 | |
Beverly Grove Vision Care Optometry, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 S Fairfax Ave, Los Angeles, CA 90036 Phone: 323-879-9259 | |
Narda Sanchez, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 W. Sunset Blvd, Los Angeles, CA 90028 Phone: 323-462-2816 | |
Michael Tay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4433 S Alameda St, Los Angeles, CA 90058 Phone: 323-988-1033 |