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Individual

ELIZABETH NACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2001 S BARRINGTON AVE STE 318, LOS ANGELES, CA 90025-5395
(310) 477-4009
Mailing address
6345 BALBOA BLVD, BLDG 3 STE 250, ENCINO, CA 91316
(818) 344-3937
(818) 344-1229

Taxonomy

Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
27OA00681200
NJ
152WP0200X
Pediatric Optometrist
34392TLG
CA
152WS0006X
Sports Vision Optometrist
27OA00681200
NJ
152WS0006X
Sports Vision Optometrist
34392TLG
CA
152WV0400X
Vision Therapy Optometrist
27OA00681200
NJ
152WV0400X
Vision Therapy Optometrist
34392TLG
CA

Other

Enumeration date
09/14/2018
Last updated
01/02/2022
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