Provider Demographics
NPI:1982337564
Name:EYEMAX VISION PLAN INC
Entity type:Organization
Organization Name:EYEMAX VISION PLAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ELHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-764-8836
Mailing Address - Street 1:530 S MAIN ST STE 600
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4544
Mailing Address - Country:US
Mailing Address - Phone:714-571-4000
Mailing Address - Fax:
Practice Address - Street 1:530 S MAIN ST STE 600
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4544
Practice Address - Country:US
Practice Address - Phone:714-571-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty