Provider Demographics
NPI:1427838721
Name:VIZ EYE CARE OPTOMETRY, INC, A PROFESSIONAL CORP
Entity type:Organization
Organization Name:VIZ EYE CARE OPTOMETRY, INC, A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-315-1833
Mailing Address - Street 1:358 S MARENGO AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3913
Mailing Address - Country:US
Mailing Address - Phone:626-315-1833
Mailing Address - Fax:
Practice Address - Street 1:2620 TUSCANY ST STE 103
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-4646
Practice Address - Country:US
Practice Address - Phone:951-372-9361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service