Provider Demographics
NPI:1306111356
Name:GLOBAL EYE AND LASER
Entity type:Organization
Organization Name:GLOBAL EYE AND LASER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARBI
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:323-936-5140
Mailing Address - Street 1:6333 W 3RD ST
Mailing Address - Street 2:STALL 708
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3109
Mailing Address - Country:US
Mailing Address - Phone:323-936-5140
Mailing Address - Fax:323-936-5153
Practice Address - Street 1:6333 W 3RD ST
Practice Address - Street 2:STALL 708
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3109
Practice Address - Country:US
Practice Address - Phone:323-936-5140
Practice Address - Fax:323-936-5153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12334332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment