Provider Demographics
NPI:1457967804
Name:NIRMALA VISION PC
Entity type:Organization
Organization Name:NIRMALA VISION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:BIPIN
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-835-1689
Mailing Address - Street 1:999 N TUSTIN AVE STE 219
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-6506
Mailing Address - Country:US
Mailing Address - Phone:714-541-4185
Mailing Address - Fax:714-541-3465
Practice Address - Street 1:999 N TUSTIN AVE STE 219
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-6506
Practice Address - Country:US
Practice Address - Phone:714-541-4185
Practice Address - Fax:714-541-3465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty