# GLAUCOMA, INC.

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

## Provider details

- **NPI number:** 1467727289
- **Authorized official:** DR. EHSAN SADRI M.D. (CEO/ MD)
- **Authorized official phone:** (949) 307-0582

## Contact information

- **Practice address:** 26730 TOWNE CENTRE DR STE 204, FOOTHILL RANCH, CA 92610-2842
- **Practice address phone:** (949) 307-0582
- **Mailing address:** PO BOX 1534, NEWPORT BEACH, CA 92659-0534
- **Mailing address phone:** (949) 307-0582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | A87053 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2012
- **Last updated:** 03/12/2012