Organization Name: | MACIAS FAMILY EYE CARE, INC. |
NPI Number: | 1013399369 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDUARDO P MACIAS (VICE PRESIDENT) |
Mailing Address: | 1440 S E St Suite D San Bernardino |
State: | CA US |
Postal Code: | 924082780 |
Phone Number: | 9098853933 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2015 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | A86793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |