Provider Demographics
NPI:1063841732
Name:ACCESSOREYES OPTOMETRY INC.
Entity Type:Organization
Organization Name:ACCESSOREYES OPTOMETRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:DR
Authorized Official - First Name:ELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRABYAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-577-8881
Mailing Address - Street 1:155 CORDOVA ST
Mailing Address - Street 2:UNIT 168
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2727
Mailing Address - Country:US
Mailing Address - Phone:626-577-8881
Mailing Address - Fax:
Practice Address - Street 1:155 CORDOVA ST
Practice Address - Street 2:UNIT 168
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2727
Practice Address - Country:US
Practice Address - Phone:626-577-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14089152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty