LARRY J GOTTLIEB INC A PROFESSIONAL CORPORATION (NPI# 1013176130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013176130 |
| Entity Type | Organization |
| Organization Name | LARRY J GOTTLIEB INC A PROFESSIONAL CORPORATION |
| Other Organization Name | DR GOTTLIEB OPTOMETRY |
| Practice Address |
6418 E Del Amo Blvd Lakewood CA 90713 |
| Practice Telephone | 5624202055 |
| Practice Fax Number | 5624201784 |
| Mailing Telephone | 5624202055 |
| Mailing Fax Number | 5624201784 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | DR. LARRY J GOTTLIEB (PRESIDENT) |
| Authorized Official Telephone | 5624202055 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6451T | CA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Dr Gottlieb Optometry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235537119 | Larry J Gottlieb Inc A Professional Corporation | Optometrist | 6418 Del Amo Blvd, Lakewood, CA 90713-2204 | 2014-12-09 |
| Street Address |
6418 E DEL AMO BLVD |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470026 | Blue Horizon Homes, LLC | Residential Treatment Facility, Physical Disabilities | 4340 Conquista Ave., Lakewood, CA 90713 | 2016-11-28 |
| 1083033104 | Support for Mothers | Lactation Consultant, Non-RN | 5313 Briercrest Ave, Lakewood, CA 90713 | 2014-04-16 |
| 1477972990 | Denise Marie Estrada | Acupuncturist | 4136 Woodruff Avenue, Lakewood, CA 90713 | 2014-04-11 |
| 1750405718 | Dean Luong & Donald Luong Dds, Inc | Dentist | 4180 Woodruff Ave, Lakewood, CA 90713 | 2007-03-16 |
| 1477629939 | Molthen Chiropractic | Chiropractor | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2006-11-28 |
| 1093809709 | Kelli Lynn Molthen | Chiropractor | 5834 Adenmoor Ave., Lakewood, CA 90713 | 2006-10-03 |
| 1255979803 | Kimie Anne Acacio | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1164060711 | Stephanie Lee | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-12-13 |
| 1144866161 | Anna Gevorgyan | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-11-25 |
| 1053957076 | Hibah Khan | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2019-11-25 |
| Find all providers in zip 90713 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1811515075 | Lindee Jo Lorig | Optometrist | 5216 Montair Ave, Lakewood, CA 90712-2749 | 2020-07-13 |
| 1013564228 | National Vision Inc | Optometrist | 98 Wadsworth Blvd Unit 118, Lakewood, CO 80226-1552 | 2019-08-22 |
| 1700439528 | Cody F. Jackson | Optometrist | 14500 W Colfax Ave Unit 524, Lakewood, CO 80401-3235 | 2019-07-21 |
| 1710548904 | Metrowest Eye Associates, P.C. | Optometrist | 8585 W 14th Ave Ste C, Lakewood, CO 80215-4860 | 2019-06-27 |
| 1770033466 | Joel Matoba | Optometrist | 200 Union Blvd Ste 415, Lakewood, CO 80228-1832 | 2016-10-06 |
| 1275985616 | Lauren Sowash | Optometrist | 355 S Wadsworth Blvd Unit D, Lakewood, CO 80226-3136 | 2016-07-11 |
| 1548610066 | Brett Igbinoba | Optometrist | 9101 Bridgeport Way Sw Ste C, Lakewood, WA 98499-2419 | 2016-06-15 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1043604051 | Dr. Phung Quach, Od Inc. | Optometrist | 11421 Carson St Ste F, Lakewood, CA 90715-2500 | 2015-03-27 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.