Provider Demographics
NPI:1568630168
Name:L. A. EYEGLASS FACTORY
Entity Type:Organization
Organization Name:L. A. EYEGLASS FACTORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:PING
Authorized Official - Middle Name:P
Authorized Official - Last Name:ESPINELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-387-6802
Mailing Address - Street 1:217 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-5906
Mailing Address - Country:US
Mailing Address - Phone:213-387-6802
Mailing Address - Fax:
Practice Address - Street 1:217 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-5906
Practice Address - Country:US
Practice Address - Phone:213-387-6802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA004260251E00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251E00000XAgenciesHome Health