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Organization
DLV VISION MANAGEMENT LLC
Active
Organization
DLV VISION MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J DOUGHERTY MD (MEDICAL DIRECTOR)
(805) 987-5300
Entity
Organization
Contact information
Practice address
4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4639
(805) 987-5300
(818) 707-7668
Mailing address
4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4639
(805) 987-5300
(818) 707-7668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
—
NULL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
08/20/2018
Last updated
07/12/2023
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