Provider Demographics
NPI:1891348637
Name:NORCO HAMNER OPTOMETRY, INC
Entity Type:Organization
Organization Name:NORCO HAMNER OPTOMETRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-826-5576
Mailing Address - Street 1:16811 BEAR CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-7988
Mailing Address - Country:US
Mailing Address - Phone:626-826-5576
Mailing Address - Fax:909-393-7298
Practice Address - Street 1:3179 HAMNER AVE STE 1
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-1983
Practice Address - Country:US
Practice Address - Phone:951-734-4802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty