Doctor profile · Federal record
Dr. Paul Super, OD
Optometrist · Corneal and Contact Management Optometrist · Los Angeles, CA
- NPI 1649499807
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
11696 San Vicente Blvd
Los Angeles, CA 900495104
(310) 820-2020
fax (310) 820-1884 - Additional location
-
2940 N Beverly Glen Cir
Los Angeles, CA 900771724
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- December 23, 2020
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- California #OPT8867 · California #OP8867TPG
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649499807. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$99
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas INC. | 2 | $43.32 | |
| Dompe US, INC. | 1 | $37.43 | |
| Alcon Vision LLC | 1 | $18.64 |
By nature of payment
Frequently asked questions
What is Dr. Paul Super's medical specialty?
Dr. Paul Super practices Optometrist in Los Angeles, CA.
Where does Dr. Paul Super practice?
Dr. Paul Super practices at 11696 San Vicente Blvd, Los Angeles, CA 900495104. Office phone: 3108202020.
What is Dr. Paul Super's NPI?
Dr. Paul Super's National Provider Identifier (NPI) is 1649499807, issued by NPPES.