Provider Demographics
NPI:1346295474
Name:TORRES, ANNA M (OD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:TORRES
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1420 N CLAREMONT BLVD
Mailing Address - Street 2:STE - 209B
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-3528
Mailing Address - Country:US
Mailing Address - Phone:909-621-0057
Mailing Address - Fax:909-621-5485
Practice Address - Street 1:1420 N CLAREMONT BLVD
Practice Address - Street 2:STE - 209B
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-3528
Practice Address - Country:US
Practice Address - Phone:909-621-0057
Practice Address - Fax:909-621-5485
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2014-03-24
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Provider Licenses
StateLicense IDTaxonomies
CA8878T152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0088780Medicaid
CAOP8878Medicare PIN
CA5139480001Medicare NSC