Mid-Peninsula Optical

LBN: Mid-Peninsula Optical
Mid-Peninsula Optical is an health care organization with primary practice located at 883 Santa Cruz Ave , Menlo Park CA 94025-4638. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Contact Lens Fitter is the primary health care specialty. Mid-Peninsula Optical can be contacted via phone (650) 324-4333, or through Paquette, Daniel via phone (650) 324-4333.

Contact Information

Primary practice address
883 Santa Cruz Ave Menlo Park CA 94025-4638
Fax: (650) 324-4311
Website:
Authorized official contact:
Name: Paquette, Daniel

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens Fitter 156FC0801X CL391 California
Eye and Vision Services Providers / Optician 156FX1800X SL0611 California

Profile Details

NPI number 1073649273
LBN Legal business name Mid-Peninsula Optical
DBA Doing business as
Authorized official Paquette, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073649273 NPPES
California Other CA0391 EYEMEDVISIONCARE

Popular Providers