Provider Demographics
NPI:1992003990
Name:GOLDEN, ARDAYA & LIN OPTOMETRY, INC.
Entity Type:Organization
Organization Name:GOLDEN, ARDAYA & LIN OPTOMETRY, INC.
Other - Org Name:GOLDEN OPTOMETRIC GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARDAYA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:562-692-1208
Mailing Address - Street 1:11245 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-3111
Mailing Address - Country:US
Mailing Address - Phone:562-692-1208
Mailing Address - Fax:562-695-6386
Practice Address - Street 1:11245 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-3111
Practice Address - Country:US
Practice Address - Phone:562-692-1208
Practice Address - Fax:562-695-6386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12724152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFP572AMedicare PIN