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Organization
MARC S. SIMMONS, O.D., INC.
Active
Organization
MARC S. SIMMONS, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC S. SIMMONS O.D. (PRESIDENT)
(310) 674-5123
Entity
Organization
Contact information
Practice address
6225 W 87TH ST, SUITE 101, LOS ANGELES, CA 90045-3979
(310) 674-5123
(310) 674-1966
Mailing address
6225 W 87TH ST, SUITE 101, LOS ANGELES, CA 90045-3979
(310) 674-5123
(310) 674-1966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7057T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0070570
—
CA
Enumeration date
06/11/2006
Last updated
07/25/2012
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