DR. Keith A Simon, OD
NPI #1821069311 in Venice, California
Provider Information
- NPI Number
- 1821069311
- Entity Type
- Individual
- Name
- DR. Keith A Simon, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Feb 1, 2006
- Last Updated
- Feb 18, 2021
Practice Location
- Address
- 604 ROSE AVE
- Address 2
- VENICE FAMILY CLINIC/OPTOMETRY DEPT.
- City
- Venice
- State
- California
- ZIP Code
- 90291-2767
- Phone
- (310) 392-8636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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