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

Dr. Paul Jonathan Super, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1649499807

Dr. Paul Jonathan Super, OD is a Corneal and Contact Management Optometrist in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

11696 San Vicente Blvd
Los Angeles, CA 90049-5104
Phone: (310) 820-2020
Fax: (310) 820-1884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2940 N Beverly Glen Cir, Los Angeles, CA 90077-1724 — (310) 820-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT8867 (CA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence OP8867TPG (CA)

Record details

NPI number1649499807
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESDecember 23, 2020
Certification dateDecember 18, 2020

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