Marvin I Porton O.d., Inc.

NPI #1376654061 in Burbank, California

Provider Information

NPI Number: 1376654061
Entity Type: Organization
Organization Name: Marvin I Porton O.d., Inc.
Primary Specialty: Optometrist
Enumeration Date: Aug 31, 2006
Last Updated: Dec 21, 2009

Practice Location

Address: 804 S VICTORY BLVD
Address 2: SUITE A
City: Burbank
State: California
ZIP Code: 91502-2427
Phone: (818) 843-3544

Authorized Official

Name: DR. MARVIN ISAAC PORTON, O.D.
Title: OWNER
Phone: (626) 806-5071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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