# DLV VISION MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1952881989
- **Authorized official:** DR. PAUL J DOUGHERTY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 987-5300

## Contact information

- **Practice address:** 4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4639
- **Practice address phone:** (805) 987-5300
- **Practice address fax:** (818) 707-7668
- **Mailing address:** 4353 PARK TERRACE DR STE 150, WESTLAKE VILLAGE, CA 91361-4639
- **Mailing address phone:** (805) 987-5300
- **Mailing address fax:** (818) 707-7668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | — | — |

## Other

- **Enumeration date:** 08/20/2018
- **Last updated:** 07/12/2023