# GLOBAL LASER VISION MEDICAL CENTER

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

## Provider details

- **NPI number:** 1952570962
- **Authorized official:** MR. FARZAD YAGHOUTI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (619) 243-2444

## Contact information

- **Practice address:** 6950 FRIARS RD STE 100, SAN DIEGO, CA 92108-5107
- **Practice address phone:** (619) 243-2444
- **Practice address fax:** (619) 243-2443
- **Mailing address:** 6950 FRIARS RD STE 100, SAN DIEGO, CA 92108-5107
- **Mailing address phone:** (619) 243-2444
- **Mailing address fax:** (619) 243-2443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | G085172 | CA | — |
| 152WC0802X | Corneal and Contact Management Optometrist | G085172 | CA | — |
| 152WV0400X | Vision Therapy Optometrist | G081572 | CA | — |
| 156FC0800X | Contact Lens Technician/Technologist | G085172 | CA | — |
| 156FC0801X | Contact Lens Fitter | G085172 | CA | — |
| 156FX1100X | Ophthalmic Technician/Technologist | G085172 | CA | — |
| 156FX1101X | Ophthalmic Assistant | G085172 | CA | — |
| 156FX1201X | Optometric Assistant Technician | G085172 | CA | — |
| 156FX1202X | Optometric Technician | G085172 | CA | — |
| 156FX1800X | Optician | G085172 | CA | — |
| 207W00000X | Ophthalmology Physician | G085172 | CA | Yes |

## Other

- **Enumeration date:** 02/23/2008
- **Last updated:** 02/23/2008