Organization · NPI-2

A. Sadeghian Optometric Corporation

Optometrist · Corona, CA

NPI number1346382074

StatusActive

Last updated in NPPESDec 15, 2011

Details

NPI: 1346382074
Entity type: Organization (NPI-2)
Legal business name: A. Sadeghian Optometric Corporation
Organization subpart: No
Enumeration date: Feb 12, 2007
Last updated: Dec 15, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	12354T	CA	Yes
152WC0802X	Optometrist, Corneal and Contact Management	12354T	CA
152WL0500X	Optometrist, Low Vision Rehabilitation	12354T	CA
152WP0200X	Optometrist, Pediatrics	12354T	CA

Other names

Corona Optometry (Doing Business As)

Practice location

1501 Rimpau Ave
Suite B104
Corona, CA 92881-3225

Phone 951-898-2010

Mailing address

1501 Rimpau Ave
Suite B104
Corona, CA 92881-3225

Phone 951-898-2010

Authorized official

Barbara A Roos
Billing Manager
6305415040

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