Organization Name: | TOTAL VISION OPTOMETRY |
NPI Number: | 1033379367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRANDON LEE PYKOSZ-SANCHEZ (OPTOMETRIST) |
Mailing Address: | 405 Stonewood St Downey |
State: | CA US |
Postal Code: | 902413919 |
Phone Number: | 5626222200 |
Fax Number: | 5626229920 |
NPI Enumeration Date: | 06/10/2008 |
NPI Last Update Date: | 06/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS0132X |
License Number: | 11735T |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ophthalmologic Surgery |
Taxonomy Definition: |