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

Great Eyes Optometry, Inc

Organization Optometrist · NPI 1811172190

Great Eyes Optometry, Inc is an Optometrist in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2008
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

343 S Broadway
Los Angeles, CA 90013-1207
Phone: (213) 626-9978
Fax: (213) 628-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 343 S Broadway, Los Angeles, CA 90013-1207 — (213) 626-9978

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11765T (CA)

Record details

NPI number1811172190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jade Davis — President · (213) 626-9978
NPI enumeratedJanuary 4, 2008
Last updated in NPPESFebruary 20, 2018
Mailing address625 Las Dunas St, Imperial, CA 92251-8000

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