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MENDOCINO OPTICAL CO INC NPI 1528002201


NPI Information

NPI: 1528002201
Provider Name: MENDOCINO OPTICAL CO INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
280 S SCHOOL ST
UKIAH, CA
ZIP 95482
Phone: (707) 462-2744
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MENDOCINO OPTICAL CO INC is an eyewear supplier in Ukiah, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MENDOCINO OPTICAL CO INC NPI is 1528002201. The provider is registered as an organization entity type.

The provider's business location address is:

280 S SCHOOL ST
UKIAH, CA
ZIP 95482-828
Phone: (707) 462-2744
Fax: (707) 462-8789

The provider's authorized official is Anne Marie Nix .
The authorized official title is Owner Optician and has the following contact phone number (707) 462-2744.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 8/12/2008.


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 Supplier461CALIFORNIAYes

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
1DX003663F5MEDICAIDCALIFORNIA
20734050001MEDICARE NSCCALIFORNIA
31247OTHERCALIFORNIAMESC BLUE SHIELD

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
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