Summit Optometric Eyecare

Optometrist · Simi Valley, CA

Organization Active NPI

NPI number 1053757039

Practice location

690 E Los Angeles Ave
Suite a
Simi Valley, CA 93065-1857
Phone
(626) 376-3513
Fax
(805) 250-1001

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NPI record

NPI
1053757039
Entity type
Organization (Type 2)
Enumeration date
May 16, 2013
Last updated
August 5, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 11209T CA

Authorized official

Name
Dr. John Ilsun Ryu, O.D.
Title
CEO/Optometrist
Phone
(626) 376-3513

About Summit Optometric Eyecare

Summit Optometric Eyecare is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 690 E Los Angeles Ave, Suite a, Simi Valley, CA 93065-1857. The NPI number 1053757039 was assigned on May 16, 2013 and the record was last updated on August 5, 2013.

Summit Optometric Eyecare lists a license in the registry: #11209T (CA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. John Ilsun Ryu, O.D., CEO/Optometrist.

Frequently asked questions

What is the NPI number of Summit Optometric Eyecare?

The NPI number is 1053757039.

What is the phone number of Summit Optometric Eyecare?

The phone number listed for the practice location is (626) 376-3513.

Where is Summit Optometric Eyecare located?

690 E Los Angeles Ave, Suite a, Simi Valley, CA 93065-1857.

What is the taxonomy code for Summit Optometric Eyecare?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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