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Organization
JUDY C. LIAO O.D. INC
Active
Organization
JUDY C. LIAO O.D. INC
Active
Other names
L.A. VISION OPTOMETRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY C. LIAO O.D. (OPTOMETRIST/OWNER)
(213) 680-0404
Entity
Organization
Contact information
Practice address
631 N BROADWAY, LOS ANGELES, CA 90012-2801
(213) 680-0404
Mailing address
631 N BROADWAY, LOS ANGELES, CA 90012-2801
(213) 680-0404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 11694T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0116940
—
CA
Enumeration date
11/13/2007
Last updated
11/20/2015
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