Provider Demographics
NPI:1821461237
Name:ALVIN LO OPTOMETRY
Entity Type:Organization
Organization Name:ALVIN LO OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:KWAN YANG
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-969-7859
Mailing Address - Street 1:433 OAK KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3013
Mailing Address - Country:US
Mailing Address - Phone:626-610-6727
Mailing Address - Fax:
Practice Address - Street 1:1220 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2819
Practice Address - Country:US
Practice Address - Phone:626-610-6727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95-447832152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty