CHICO OPTICAL DISPENSERS NPI 1417135328

NPI Information

  • NPI: 1417135328
  • Provider Name: CHICO OPTICAL DISPENSERS
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 1722 MANGROVE AVE STE 32
    CHICO, CA
    ZIP 95926
  • Phone: (530) 895-1474

Map and Directions

Get Directions

NPI Details

CHICO OPTICAL DISPENSERS is an eyewear supplier in Chico, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CHICO OPTICAL DISPENSERS NPI is 1417135328. The provider is registered as an organization entity type.

The provider's business location address is:

1722 MANGROVE AVE STE 32
CHICO, CA
ZIP 95926-300
Phone: (530) 895-1474
Fax: (530) 895-1441

The provider's authorized official is Randel Edward Johanson .
The authorized official title is Owner and has the following contact phone number (530) 895-1474.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/6/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierCALIFORNIAYes

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
15327910001MEDICARE 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI