Provider Demographics
NPI:1790422293
Name:STRICKLAND OPTOMETRIC MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:STRICKLAND OPTOMETRIC MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-703-1257
Mailing Address - Street 1:12737 GLENOAKS BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-4724
Mailing Address - Country:US
Mailing Address - Phone:818-367-1015
Mailing Address - Fax:818-367-3593
Practice Address - Street 1:12737 GLENOAKS BLVD STE 3
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-4724
Practice Address - Country:US
Practice Address - Phone:818-367-1015
Practice Address - Fax:818-367-3593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty