Organization Name: | SOUTH COAST EYE CARE CENTERS |
NPI Number: | 1518935725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW HENRICK (PRESIDENT/OWNER) |
Mailing Address: | 23961 Calle De La Magdalena Suite 302 Laguna Hills |
State: | CA US |
Postal Code: | 926533616 |
Phone Number: | 9495882020 |
Fax Number: | 9495880336 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | EAA994358090001EA |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |