Organization
KK0719 LLC
Active
Other names
California Optical Lab, Anytime Glasses, John Ruvin, Eyeveterans, The Optic Lab, Sportifeye Optics
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KIM (CEO)
(213) 272-4436
Entity
Organization
Contact information
Practice address
1854 BUSINESS CENTER DR, DUARTE, CA 91010-2901
(626) 521-5600
Mailing address
1854 BUSINESS CENTER DR, DUARTE, CA 91010-2901
(626) 521-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/18/2025
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