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Stanford Optical Shop
Optician in Palo Alto, California
NPI 1174735963

Stanford Optical Shop is a Optician based in Palo Alto, CA and is specialized in Optician. Stanford Optical Shop practices in Palo Alto, CA. The NPI Number for Stanford Optical Shop is 1174735963 and holds a License No. SL 4881 (California).

The current practice location address for Stanford Optical Shop is 900 Blake Wilbur Dr Rm W1090, Palo Alto, CA and can be reached out via phone at 650-736-0566 and via fax at 650-736-0575.

Location: 900 Blake Wilbur Dr Rm W1090, Palo Alto, CA, 94304-1185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174735963
Provider Name
Stanford Optical Shop
Credential
Provider Entity Type
Organization
Address
900 Blake Wilbur Dr Rm W1090, Palo Alto, CA, 94304-1185
Phone Number
650-736-0566
Fax Number
650-736-0575
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 Blake Wilbur Dr Rm W1090
City
Palo Alto
State
California
Zip
94304-2201
Phone Number
650-736-0566
Fax Number
650-736-0575
person
Provider Business Mailing Address Details
Address
900 Blake Wilbur Dr Rm W1090
City
Palo Alto
State
California
Zip
94304-2201
Phone Number
650-736-0566
Fax Number
650-736-0575
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
SL 4881 (California)
Definition
Definition to come...
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