Broadway Family Optometry

NPI #1265101158 in Glendale, California

Provider Information

NPI Number: 1265101158
Entity Type: Organization
Organization Name: Broadway Family Optometry
Primary Specialty: Optometrist
Enumeration Date: Sep 13, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 113 E BROADWAY
City: Glendale
State: California
ZIP Code: 91205-1006
Phone: (818) 241-7719

Authorized Official

Name: DR. BORIS MARDIAN, OD
Title: OPTOMETRIST
Phone: (818) 241-7719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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