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Mendocino Optical Co Inc
Eyewear Supplier in Lakeport, California
NPI 1588810303

Mendocino Optical Co Inc is a Eyewear Supplier based in Ukiah, CA. Mendocino Optical Co Inc practices in Lakeport, CA. The NPI Number for Mendocino Optical Co Inc is 1588810303 and holds a License No. D5447 (California).

The current practice location address for Mendocino Optical Co Inc is 5120 Hill Rd E, Lakeport, CA and can be reached out via phone at 707-263-3433 and via fax at 707-263-9340.

Location: 5120 Hill Rd E, Lakeport, CA, 95482-4828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588810303
Provider Name
Mendocino Optical Co Inc
Credential
Provider Entity Type
Organization
Address
5120 Hill Rd E, Lakeport, CA, 95482-4828
Phone Number
707-263-3433
Fax Number
707-263-9340
Provider Enumeration Date
08/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1974 01 CA MESC BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5120 Hill Rd E
City
Lakeport
State
California
Zip
95453-6300
Phone Number
707-263-3433
Fax Number
707-263-9340
person
Provider Business Mailing Address Details
Address
5120 Hill Rd E
City
Lakeport
State
California
Zip
95453-6300
Phone Number
707-263-3433
Fax Number
707-263-9340
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
D5447 (California)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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