Organization
BURBANK OPTOMETRIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI SACHIKO NISHIDA-EUGENIO OD (PRESIDENT)
(818) 845-3549
Entity
Organization
Contact information
Practice address
1032 N HOLLYWOOD WAY, BURBANK, CA 91505-2525
(818) 845-3549
Mailing address
1032 N HOLLYWOOD WAY, BURBANK, CA 91505-2525
(818) 845-3549
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
9994T
CA
Other
Enumeration date
09/16/2009
Last updated
04/15/2016
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