STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY NPI 1649487729

NPI Information

STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY is an eyewear supplier in Chowchilla, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY NPI is 1649487729. The provider is registered as an organization entity type.

The provider's business location address is:

23370 ROAD 22
CHOWCHILLA, CA
ZIP 93610
Phone: (559) 665-6100

The provider's authorized official is Earl C. Shazter .
The authorized official title is Branch Manager and has the following contact phone number (916) 358-1721.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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