Provider Demographics
NPI:1578675807
Name:FRANCE VISION, AN OPTOMETRIC CORPORATION
Entity Type:Organization
Organization Name:FRANCE VISION, AN OPTOMETRIC CORPORATION
Other - Org Name:FRANCE VISION OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:213-487-1001
Mailing Address - Street 1:3104 W OLYMPIC BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2414
Mailing Address - Country:US
Mailing Address - Phone:213-487-1001
Mailing Address - Fax:213-487-1023
Practice Address - Street 1:3104 W OLYMPIC BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2414
Practice Address - Country:US
Practice Address - Phone:213-487-1001
Practice Address - Fax:213-487-1023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11073T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20253Medicare PIN