person
Dori D Lopez, OPTICIAN
Optician in Panorama City, California
NPI 1316008956

Dori D Lopez is a Optician based in Panorama City, CA and is specialized in Optician. Dori D Lopez practices in Panorama City, CA and has the professional credentials of OPTICIAN. The NPI Number for Dori D Lopez is 1316008956 and holds a License No. CL 664 (California).

The current practice location address for Dori D Lopez is 14449 Roscoe Blvd, Panorama City, CA and can be reached out via phone at 818-894-9582 and via fax at 818-894-0391. You can also correspond with Dori D Lopez through the mailing address at 14449 ROSCOE BLVD, PANORAMA CITY, CA - 91402-3012 (mailing address contact number: 818-894-9582).

Location: 14449 Roscoe Blvd, Panorama City, CA, 91402-3012
person
Provider Profile Details
NPI Number
1316008956
Provider Name
Dori D Lopez
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
14449 Roscoe Blvd, Panorama City, CA, 91402-3012
Phone Number
818-894-9582
Fax Number
818-894-0391
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DX002069F 05 CA
institution
Provider Business Practice Location Address Details
Address
14449 Roscoe Blvd
City
State
Zip
91402-3012
Phone Number
818-894-9582
Fax Number
818-894-0391
person
Provider Business Mailing Address Details
Address
14449 Roscoe Blvd
City
State
Zip
91402-3012
Phone Number
818-894-9582
Fax Number
818-894-0391
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
License No.
SL 2069 (California)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
CL 664 (California)
Definition
Definition to come...
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