Organization
GRANADA HILLS OPTOMETRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL MELNIK OD (OWNER/PRESIDENT)
(818) 366-2020
Entity
Organization
Contact information
Practice address
18013 CHATSWORTH ST, GRANADA HILLS, CA 91344-5608
(818) 366-2020
(818) 366-9868
Mailing address
18013 CHATSWORTH ST, GRANADA HILLS, CA 91344-5608
(818) 366-2020
(818) 366-9868
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04723T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3641
MEDICAL EYE SERVICE INSUR
CA
05
—
SD0047230 9
—
CA
Enumeration date
09/13/2006
Last updated
05/25/2010
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