Mendoza Optometric Corporation

LBN: Mendoza Optometric Corporation
Mendoza Optometric Corporation is an health care organization with primary practice located at 2411 E Plaza Blvd , National City CA 91950-5101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Mendoza Optometric Corporation can be contacted via phone (619) 475-2184, or through Mendoza, Raymundo G via phone (619) 475-2184.

Contact Information

Primary practice address
2411 E Plaza Blvd National City CA 91950-5101
Phone: (619) 475-2184
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mendoza, Raymundo G Doctor of Optometry (OD)
Phone: (619) 475-2184

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X OPT 8150T

Profile Details

NPI number 1982871174
LBN Legal business name Mendoza Optometric Corporation
DBA Doing business as
Authorized official Mendoza, Raymundo G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated Jan 7th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982871174 NPPES
California MEDICAID SD0081500

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