Optometric Specialties INC

NPI #1023094570 in Los Angeles, California

Provider Information

NPI Number: 1023094570
Entity Type: Organization
Organization Name: Optometric Specialties INC
Primary Specialty: Optometrist
Enumeration Date: Dec 16, 2005
Last Updated: Jun 16, 2018

Practice Location

Address: 3750 SANTA ROSALIA DR STE 102
City: Los Angeles
State: California
ZIP Code: 90008-3685
Phone: (323) 294-7517

Authorized Official

Name: DR. ERIC E GAYLORD, O.D.
Title: OWNER
Phone: (323) 294-7517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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