Provider Demographics
NPI:1881802122
Name:DAVID N. STEIN, O.D. AN OPTOMETIC CORPORATION
Entity type:Organization
Organization Name:DAVID N. STEIN, O.D. AN OPTOMETIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMENTRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:562-869-1005
Mailing Address - Street 1:8605 FIRESTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5242
Mailing Address - Country:US
Mailing Address - Phone:562-869-1005
Mailing Address - Fax:562-861-5223
Practice Address - Street 1:8605 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5242
Practice Address - Country:US
Practice Address - Phone:562-869-1005
Practice Address - Fax:562-861-5223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8126T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty