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LOS ALTOS OPTOMETRIC GROUP INC. NPI 1184610941


NPI Information

NPI: 1184610941
Provider Name: LOS ALTOS OPTOMETRIC GROUP, INC.
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
133 2ND ST
LOS ALTOS, CA
ZIP 94022
Phone: (650) 948-3700
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LOS ALTOS OPTOMETRIC GROUP, INC. is an optometrist in Los Altos, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LOS ALTOS OPTOMETRIC GROUP, INC. NPI is 1184610941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

133 2ND ST
LOS ALTOS, CA
ZIP 94022-745
Phone: (650) 948-3700
Fax: (650) 941-9980

The provider's authorized official is Samuel Pesner .
The authorized official title is President and has the following contact phone number (650) 948-3700.

The enumeration date for this NPI number is 9/26/2005 and was last updated on 9/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist05315TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SD0053150MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2T09945MEDICARE UPINCALIFORNIA
31292250001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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