Provider Demographics
NPI:1164079562
Name:DOCTORS MATTHEW ALPERT AND JOSHUA CORBEN OPTOMETRIC CORP
Entity type:Organization
Organization Name:DOCTORS MATTHEW ALPERT AND JOSHUA CORBEN OPTOMETRIC CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORBEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:661-259-2168
Mailing Address - Street 1:23206 LYONS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2671
Mailing Address - Country:US
Mailing Address - Phone:661-904-7896
Mailing Address - Fax:
Practice Address - Street 1:23206 LYONS AVE STE 102
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2671
Practice Address - Country:US
Practice Address - Phone:661-904-7896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty