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Dr. Paul Jonathan Super, OD
Optometrist in Los Angeles, California
NPI 1649499807

Paul Jonathan Super is a Optometrist based in Los Angeles, CA. Paul Jonathan Super practices in Los Angeles, CA and has the professional credentials of OD. The NPI Number for Paul Jonathan Super is 1649499807 and holds a License No. OP8867TPG (California).

The current practice location address for Paul Jonathan Super is 11696 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 310-820-2020 and via fax at 310-820-1884.

Location: 11696 San Vicente Blvd, Los Angeles, CA, 90049-5104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649499807
Provider Name
Paul Jonathan Super
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
11696 San Vicente Blvd, Los Angeles, CA, 90049-5104
Phone Number
310-820-2020
Fax Number
310-820-1884
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11696 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-5104
Phone Number
310-820-2020
Fax Number
310-820-1884
person
Provider Business Mailing Address Details
Address
11696 San Vicente Blvd
City
Los Angeles
State
California
Zip
90049-5104
Phone Number
310-820-2020
Fax Number
310-820-1884
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
OPT8867 (California)
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Corneal and Contact Management
Taxonomy
152WC0802X
License No.
OP8867TPG (California)
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
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