Provider Demographics
NPI:1710142062
Name:HINDS, NATHAN DANIEL (OD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:DANIEL
Last Name:HINDS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:121 W. WHITTIER BLVD.
Mailing Address - Street 2:#100
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3855
Mailing Address - Country:US
Mailing Address - Phone:562-694-2500
Mailing Address - Fax:562-694-2577
Practice Address - Street 1:121 W. WHITTIER BLVD
Practice Address - Street 2:#100
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3855
Practice Address - Country:US
Practice Address - Phone:562-694-2500
Practice Address - Fax:562-694-2577
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13518 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist