Doctor Name: | DR. ROBERTA ALICE PERLMAN |
NPI Number: | 1124110184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | 6671 |
Business Practice Address: | 5385 Walnut Ave Ste 2 Chino, CA - 917102605 |
Business Phone Number: | 9096278523 |
Business Fax Number: | 9096275183 |
Mailing Address: | 5385 Walnut Ave, Ste 2 CHINO |
State: | CA |
Postal Code: | 917102605 |
Phone Number: | 9096278523 |
Fax Number: | 9096275183 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 6671 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |