Provider Demographics
NPI:1164175212
Name:HARDEEP KATARIA OD OPTOMETRIC CORPORATION
Entity Type:Organization
Organization Name:HARDEEP KATARIA OD OPTOMETRIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARDEEP
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:KATARIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-739-2955
Mailing Address - Street 1:6039 PROMONTORY LN APT 234
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6872
Mailing Address - Country:US
Mailing Address - Phone:407-739-2955
Mailing Address - Fax:
Practice Address - Street 1:20165 RINALDI ST STE 150
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-4933
Practice Address - Country:US
Practice Address - Phone:407-739-2955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty