Organization
LAWRENCE G. SIMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE GLENN SIMONS O.D. (OWNER)
(818) 871-9898
Entity
Organization
Contact information
Practice address
4505 LAS VIRGENES RD, #106, CALABASAS, CA 91302-1956
(818) 871-9898
(818) 871-9797
Mailing address
4505 LAS VIRGENES RD, #106, CALABASAS, CA 91302-1956
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
7352T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WOP7352C
PPIN
CA
01
—
WY189
GROUP ID
CA
Enumeration date
02/26/2007
Last updated
08/22/2020
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