Organization
EMERALD EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MARTIN (PRACTICE ADMINISTRATOR)
(973) 937-7679
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD, SUITE711, ENCINO, CA 91436-2203
(323) 316-8186
(818) 784-7000
Mailing address
16260 VENTURA BLVD, SUITE711, ENCINO, CA 91436-2203
(323) 316-8186
(818) 784-7000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BM920
MEDICARE PTAN
CA
Enumeration date
09/02/2006
Last updated
12/11/2020
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