Provider Demographics
NPI:1437247616
Name:SHARPER VISION CENTERS A MEDICAL GROUP INC
Entity Type:Organization
Organization Name:SHARPER VISION CENTERS A MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:T
Authorized Official - Last Name:OYAKAWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-792-1010
Mailing Address - Street 1:20911 EARL ST
Mailing Address - Street 2:STE 240A
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4352
Mailing Address - Country:US
Mailing Address - Phone:310-792-1010
Mailing Address - Fax:310-792-1007
Practice Address - Street 1:20911 EARL ST
Practice Address - Street 2:STE 240A
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4352
Practice Address - Country:US
Practice Address - Phone:310-792-1010
Practice Address - Fax:310-792-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W14827AMedicare ID - Type Unspecified