Provider Demographics
NPI:1376181768
Name:NIRLOK CORPORATION
Entity type:Organization
Organization Name:NIRLOK CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AALOK
Authorized Official - Middle Name:P
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-305-0713
Mailing Address - Street 1:4776 ADDINGTON COURT
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021
Mailing Address - Country:US
Mailing Address - Phone:714-305-1713
Mailing Address - Fax:
Practice Address - Street 1:750 WEST 7TH STREET
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017
Practice Address - Country:US
Practice Address - Phone:213-896-0152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUXOTPICA RETAIL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty