Organization
ERIC B IGE, OD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC IGE O.D. (PRESIDENT)
(310) 327-9693
Entity
Organization
Contact information
Practice address
17523 CRENSHAW BLVD, TORRANCE, CA 90504-3403
(310) 327-9693
(310) 327-9699
Mailing address
17523 CRENSHAW BLVD, TORRANCE, CA 90504-3403
(310) 327-9693
(310) 327-9699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10529T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD004080
—
CA
Enumeration date
05/15/2008
Last updated
05/15/2008
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