Organization
CAROL AIVAZIAN OPT D PROFESSIONAL CORP
Active
Other names
Twenty Twenty Optometric Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL AIVAZIAN O.D. (PRESIDENT)
(661) 287-3939
Entity
Organization
Contact information
Practice address
23300 CINEMA DR STE 210, VALENCIA, CA 91355-1776
(661) 287-3939
Mailing address
23300 CINEMA DR STE 210, VALENCIA, CA 91355-1776
(661) 287-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11039T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21937
MEDICARE PTAN
CA
Enumeration date
04/06/2007
Last updated
04/16/2010
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