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
Phone: (650) 324-4333
Fax: (650) 324-4311
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073649273 | NPPES |
| California | Other | CA0391 | EYEMEDVISIONCARE |
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