Organization
EMPIRE OPOMETRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAKKASEN EM O.D. (OWNER)
(323) 728-7149
Entity
Organization
Contact information
Practice address
2449 W BEVERLY BLVD, MONTEBELLO, CA 90640-2305
(323) 728-7149
(323) 728-7140
Mailing address
2449 W BEVERLY BLVD, MONTEBELLO, CA 90640-2305
(323) 728-7149
(323) 728-7140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12446TPL
CA
Other
Enumeration date
04/23/2010
Last updated
05/04/2010
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