Organization
JOSEPH & NACE OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A NACE OD (OPTOMETRIST/CEO)
(717) 712-2939
Entity
Organization
Contact information
Practice address
6345 BALBOA BLVD, BLDG 3 STE 250, ENCINO, CA 91316
(818) 344-3937
(818) 344-1229
Mailing address
6345 BALBOA BLVD, BLDG 3 STE 250, ENCINO, CA 91316
(818) 344-3937
(818) 344-1229
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
Primary
—
—
152WX0102X
Occupational Vision Optometrist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
08/03/2021
Last updated
04/06/2023
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