Provider Demographics
NPI:1871139543
Name:EYE LOVE, INC.
Entity type:Organization
Organization Name:EYE LOVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-200-7905
Mailing Address - Street 1:2081 FOREST AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4841
Mailing Address - Country:US
Mailing Address - Phone:714-725-8989
Mailing Address - Fax:657-334-6300
Practice Address - Street 1:8341 WESTMINSTER BLVD STE 202
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-8339
Practice Address - Country:US
Practice Address - Phone:714-725-8989
Practice Address - Fax:657-334-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty