Organization
FRAMES, LENSES, ETC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA MUKACHEVA (GENERAL PARTNER)
(323) 317-2093
Entity
Organization
Contact information
Practice address
7626 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6409
(323) 317-2093
Mailing address
5741 CARLTON WAY, #210, LOS ANGELES, CA 90028-6754
(323) 317-2093
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
7338
CA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up