institution
Mark S Weintraub
Eyewear Supplier in Santa Monica, California
NPI 1750432357

Mark S Weintraub is a Eyewear Supplier based in Santa Monica, CA. Mark S Weintraub practices in Santa Monica, CA. The NPI Number for Mark S Weintraub is 1750432357 and holds a License No. (California).

The current practice location address for Mark S Weintraub is 1355 4Th St, Santa Monica, CA and can be reached out via phone at 310-394-1011.

Location: 1355 4Th St, Santa Monica, CA, 90401-1301
institution
Provider Profile Details
NPI Number
1750432357
Provider Name
Mark S Weintraub
Credential
Provider Entity Type
Organization
Address
1355 4Th St, Santa Monica, CA, 90401-1301
Phone Number
310-394-1011
Fax Number
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0622410001 01 CA DME SUPPLIER ID
institution
Provider Business Practice Location Address Details
Address
1355 4Th St
City
State
Zip
90401-1301
Phone Number
310-394-1011
Fax Number
person
Provider Business Mailing Address Details
Address
1355 4Th St
City
State
Zip
90401-1301
Phone Number
310-394-1011
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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