Organization
DR B KAMKAR OD A PROFESSIONAL OPTOMETRY CORP
Active
Other names
MODERN OPTOMETRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK KAMKAR O.D., Q.M.E. (CEO, OWNER, DOCTOR)
(818) 500-8008
Entity
Organization
Contact information
Practice address
1104 E COLORADO ST, GLENDALE, CA 91205-1309
(818) 500-8008
(818) 500-8075
Mailing address
1104 E COLORADO ST, GLENDALE, CA 91205-1309
(818) 500-8008
(818) 500-8075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8512TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
OPT8512TLG
CA
152WL0500X
Low Vision Rehabilitation Optometrist
OPT8512TLG
CA
152WP0200X
Pediatric Optometrist
OPT8512TLG
CA
152WX0102X
Occupational Vision Optometrist
OPT8512TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0085121
—
CA
Enumeration date
05/08/2007
Last updated
10/27/2021
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