Provider Demographics
NPI:1427295476
Name:NANCY M. HONDA, O.D.
Entity type:Organization
Organization Name:NANCY M. HONDA, O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HONDA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:310-541-3779
Mailing Address - Street 1:715 SILVER SPUR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3632
Mailing Address - Country:US
Mailing Address - Phone:310-541-3779
Mailing Address - Fax:
Practice Address - Street 1:715 SILVER SPUR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3632
Practice Address - Country:US
Practice Address - Phone:310-541-3779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty