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Mid-peninsula Optical
Optician in Menlo Park, California
NPI 1073649273

Mid-peninsula Optical is a Optician based in Menlo Park, CA and is specialized in Optician. Mid-peninsula Optical practices in Menlo Park, CA. The NPI Number for Mid-peninsula Optical is 1073649273 and holds a License No. CL391 (California).

The current practice location address for Mid-peninsula Optical is 883 Santa Cruz Ave, Menlo Park, CA and can be reached out via phone at 650-324-4333 and via fax at 650-324-4311.

Location: 883 Santa Cruz Ave, Menlo Park, CA, 94025-4638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073649273
Provider Name
Mid-peninsula Optical
Credential
Provider Entity Type
Organization
Address
883 Santa Cruz Ave, Menlo Park, CA, 94025-4638
Phone Number
650-324-4333
Fax Number
650-324-4311
Provider Enumeration Date
02/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA0391 01 CA EYEMEDVISIONCARE
institution
Provider Business Practice Location Address Details
Address
883 Santa Cruz Ave
City
Menlo Park
State
California
Zip
94025-4638
Phone Number
650-324-4333
Fax Number
650-324-4311
person
Provider Business Mailing Address Details
Address
883 Santa Cruz Ave
City
Menlo Park
State
California
Zip
94025-4638
Phone Number
650-324-4333
Fax Number
650-324-4311
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
SL0611 (California)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
CL391 (California)
Definition
Definition to come...
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