Supervision Optometry INC

NPI #1194998443 in West Covina, California

Provider Information

NPI Number: 1194998443
Entity Type: Organization
Organization Name: Supervision Optometry INC
Primary Specialty: Optometrist
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 1200 S SUNSET AVE
Address 2: SUITE #1
City: West Covina
State: California
ZIP Code: 91790-3903
Phone: (626) 962-2839

Authorized Official

Name: CHIEH JU LEE, OD
Title: PRESIDENT
Phone: (626) 962-2839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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