IndividualActive
Douglas Ebbink, OPTICIAN
NPI 1750582326 · Optician · Glendale, CA
Douglas Ebbink, OPTICIAN is a Optician provider in Glendale, CA (NPI 1750582326).
Provider details
- NPI number
- 1750582326
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICIAN
- Sex
- Male
- Sole proprietor
- No
- License
- D3290 (CA)
Practice location
1808 Verdugo Blvd
#120 Verdugo Optical
Glendale, CA 91208-1477
Phone: (818) 952-1124
Fax: (818) 952-3809
Street-level locationGet directions
Mailing address
1808 Verdugo Blvd
Glendale, CA 91208-1477
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.