MID-PENINSULA OPTICAL NPI 1073649273

NPI Information

  • NPI: 1073649273
  • Provider Name: MID-PENINSULA OPTICAL
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Address: 883 SANTA CRUZ AVE
    MENLO PARK, CA
    ZIP 94025
  • Phone: (650) 324-4333

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NPI Details

MID-PENINSULA OPTICAL is an optician technician technologist in Menlo Park, CA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MID-PENINSULA OPTICAL NPI is 1073649273. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

883 SANTA CRUZ AVE
MENLO PARK, CA
ZIP 94025-638
Phone: (650) 324-4333
Fax: (650) 324-4311

The provider's authorized official is Daniel Paquette .
The authorized official title is Owner Optician and has the following contact phone number (650) 324-4333.

The enumeration date for this NPI number is 2/24/2007 and was last updated on 9/11/2025.

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
1156FC0801XTechnician/TechnologistContact Lens FitterCL391CALIFORNIANo
2156FX1800XTechnician/TechnologistOpticianSL0611CALIFORNIAYes

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
1CA0391OTHERCALIFORNIAEYEMEDVISIONCARE

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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