PENINSULA LASER EYE OPTICAL NPI 1063927903

NPI Information

  • NPI: 1063927903
  • Provider Name: PENINSULA LASER EYE OPTICAL
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 1174 CASTRO ST STE 110
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Phone: (650) 961-0672

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NPI Details

PENINSULA LASER EYE OPTICAL is an eyewear supplier in Mountain View, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PENINSULA LASER EYE OPTICAL NPI is 1063927903. The provider is registered as an organization entity type.

The provider's business location address is:

1174 CASTRO ST STE 110
MOUNTAIN VIEW, CA
ZIP 94040-572
Phone: (650) 961-0672
Fax: (650) 961-3637

The provider's authorized official is Daniel J Beers .
The authorized official title is Owner and has the following contact phone number (650) 961-2585.

The enumeration date for this NPI number is 12/13/2017 and was last updated on 12/13/2017.

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
1332H00000XEyewear SupplierYes

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: 11/21/2025

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