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SISKIYOU OPTICAL NPI 1922003821


NPI Information

NPI: 1922003821
Provider Name: SISKIYOU OPTICAL

Former Legal Business Name: YREKA OPTICAL

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2524 WESTSIDE RD
YREKA, CA
ZIP 96097
Phone: (530) 842-2760
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SISKIYOU OPTICAL is an ophthalmology in Yreka, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SISKIYOU OPTICAL NPI is 1922003821. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Yreka Optical.

The provider's business location address is:

2524 WESTSIDE RD
YREKA, CA
ZIP 96097-129
Phone: (530) 842-2760
Fax: (530) 842-5839

The provider's authorized official is Belmira Pardal Borg .
The authorized official title is Administrator and has the following contact phone number (530) 842-2760.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 7/3/2013.


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
1207W00000XOphthalmologyYes

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
14164730002MEDICARE NSCCALIFORNIA
2001121000 00OTHEROREGONBLUE CROSS/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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