Provider Demographics
NPI:1831141985
Name:NAIME, EDDY Z (OD)
Entity Type:Individual
Prefix:DR
First Name:EDDY
Middle Name:Z
Last Name:NAIME
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:EYAD
Other - Middle Name:Z
Other - Last Name:NAIME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4545 E 3RD ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1656
Mailing Address - Country:US
Mailing Address - Phone:323-261-3098
Mailing Address - Fax:323-261-4259
Practice Address - Street 1:4545 E 3RD ST
Practice Address - Street 2:SUITE 105
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1656
Practice Address - Country:US
Practice Address - Phone:323-261-3098
Practice Address - Fax:323-261-4259
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12900T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist