Provider Demographics
NPI:1811765167
Name:FIT EYES OPTOMETRY INC
Entity type:Organization
Organization Name:FIT EYES OPTOMETRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TALIN
Authorized Official - Middle Name:VIVIAN
Authorized Official - Last Name:DAVIDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:747-999-3879
Mailing Address - Street 1:12920 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-4928
Mailing Address - Country:US
Mailing Address - Phone:747-999-3879
Mailing Address - Fax:
Practice Address - Street 1:12920 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-4928
Practice Address - Country:US
Practice Address - Phone:747-999-3879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist