WALNUT CREEK OPTICAL NPI 1205109766

NPI Information

NPI: 1205109766
Provider Name: WALNUT CREEK OPTICAL

Other Name: WALNUT CREEK OPTICAL AT ROSSMOOR

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1988 TICE VALLEY BLVD
WALNUT CREEK, CA
ZIP 94595
Phone: (925) 925-6650
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WALNUT CREEK OPTICAL is an eyewear supplier in Walnut Creek, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WALNUT CREEK OPTICAL NPI is 1205109766. The provider is registered as an organization entity type.
The provider Other Name Is Walnut Creek Optical At Rossmoor.

The provider's business location address is:

1988 TICE VALLEY BLVD
WALNUT CREEK, CA
ZIP 94595-203
Phone: (925) 925-6650
Fax: (925) 935-6686

The provider's authorized official is Mark Drucker .
The authorized official title is Partner and has the following contact phone number (925) 935-8822.

The enumeration date for this NPI number is 2/14/2012 and was last updated on 2/14/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		050143	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0848850001	OTHER	CALIFORNIA	MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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