Organization
DLV VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J DOUGHERTY MD (OWNER/PHYSICIAN)
(805) 987-5300
Entity
Organization
Contact information
Practice address
4353 PARK TERRACE DR, SUITE 150, WESTLAKE VILLAGE, CA 91361-4638
(805) 987-5300
(818) 707-7668
Mailing address
4353 PARK TERRACE DR, SUITE 150, WESTLAKE VILLAGE, CA 91361-4638
(805) 987-5300
(818) 707-7668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
G70688
CA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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