# LA JOLLA OPTIQUE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083842090
- **Authorized official:** DR. MIHIR PARIKH M.D. (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (858) 678-3937

## Contact information

- **Practice address:** 4130 LA JOLLA VILLAGE DR., SUITE 102, LA JOLLA, CA 92037-1480
- **Practice address phone:** (858) 678-3937
- **Practice address fax:** (858) 678-3940
- **Mailing address:** 4130 LA JOLLA VILLAGE DR., SUITE 102, LA JOLLA, CA 92037-1480
- **Mailing address phone:** (858) 678-3937
- **Mailing address fax:** (858) 678-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2009
- **Last updated:** 06/29/2009