Organization · NPI-2

Carl Hazarian

Technician/Technologist, Optician · Los Angeles, CA

NPI number1710021985
StatusActive
Last updated in NPPESMay 17, 2011

Details

NPI
1710021985
Entity type
Organization (NPI-2)
Legal business name
Carl Hazarian
Organization subpart
No
Enumeration date
Feb 19, 2007
Last updated
May 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianD3128CAYes

Other names

  • La Lunette Optical Center (Doing Business As)

Practice location

5101 Santa Monica Blvd Ste 6
Los Angeles, CA 90029-2480

Phone 323-669-1053

Mailing address

2595 E Washington Blvd Ste 105a
Pasadena, CA 91107-1409

Phone 323-669-1053

Authorized official

Carl Hazarian
Registered Optician
3236691053

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