| Organization Name: | ROBERT E PAQUETTE OPTICIAN INC |
| NPI Number: | 1013074160 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BONNIE ALYCE BONEY (CEO OPTICIAN) |
| Mailing Address: | 785 Castro St Ste C Mountain View |
| State: | CA US |
| Postal Code: | 940412013 |
| Phone Number: | 6509654488 |
| Fax Number: | |
| NPI Enumeration Date: | 01/01/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FC0801X |
| License Number: | D1917 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Contact Lens Fitter |
| Taxonomy 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. |