Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beverly Grove Vision Care Optometry, Inc

Organization Optometrist · NPI 1003325390

Beverly Grove Vision Care Optometry, Inc is an Optometrist in Los Angeles, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

511 S Fairfax Ave
Los Angeles, CA 90036-3130
Phone: (323) 879-9259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14623TLG (CA)

Record details

NPI number1003325390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Roth — Doctor · (323) 879-9259
NPI enumeratedSeptember 29, 2017
Last updated in NPPESJuly 21, 2022
Mailing address511 S Fairfax Ave, Los Angeles, CA 90036-3130

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