Advanced Eyecare Professional Optometric Group
NPI #1306035118 in Glendale, California
Provider Information
- NPI Number
- 1306035118
- Entity Type
- Organization
- Organization Name
- Advanced Eyecare Professional Optometric Group
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Sep 21, 2009
Practice Location
- Address
- 330 N BRAND BLVD
- Address 2
- SUITE 110
- City
- Glendale
- State
- California
- ZIP Code
- 91203-2308
- Phone
- (818) 240-0890
Authorized Official
- Name
- DR. RONALD V BLACK, O.D.
- Title
- OWNER
- Phone
- (818) 240-0890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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