# PREMIUM EYE DIAGNOSTIC CENTER LLC

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

## Provider details

- **NPI number:** 1265770663
- **Authorized official:** MR. CARL F MILKIE JR. (BUSINESS MANAGER)
- **Authorized official phone:** (310) 638-9391

## Contact information

- **Practice address:** 7957 PAINTER AVE, SUITE 102, WHITTIER, CA 90602-2434
- **Practice address phone:** (310) 638-9391
- **Practice address fax:** (310) 603-8749
- **Mailing address:** 7957 PAINTER AVE, SUITE 102, WHITTIER, CA 90602-2434
- **Mailing address phone:** (310) 638-9391
- **Mailing address fax:** (310) 603-8749

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2013
- **Last updated:** 07/23/2013