Provider Demographics
NPI:1952066185
Name:LOVE OPTOMETRY, INC.
Entity Type:Organization
Organization Name:LOVE OPTOMETRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:951-506-0021
Mailing Address - Street 1:27540 YNEZ RD STE J15
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-4604
Mailing Address - Country:US
Mailing Address - Phone:951-506-0021
Mailing Address - Fax:951-506-0022
Practice Address - Street 1:27540 YNEZ RD STE J15
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4604
Practice Address - Country:US
Practice Address - Phone:951-506-0021
Practice Address - Fax:951-506-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty