Provider Demographics
NPI:1720418320
Name:ASUMAN A. UNAL, OD, INC., A PROFESSIONAL OPTOMETRIC CORPORATION
Entity Type:Organization
Organization Name:ASUMAN A. UNAL, OD, INC., A PROFESSIONAL OPTOMETRIC CORPORATION
Other - Org Name:TODAY'S VISION LAGUNA NIGUEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ASUMAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:UNAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-756-5904
Mailing Address - Street 1:28121 CROWN VALLEY PKWY
Mailing Address - Street 2:SUITE G
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1491
Mailing Address - Country:US
Mailing Address - Phone:215-756-5904
Mailing Address - Fax:
Practice Address - Street 1:28121 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE G
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1491
Practice Address - Country:US
Practice Address - Phone:215-756-5904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14370TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty