Organization Name: | DELA CRUZ OPTOMETRIC CORPORATION |
NPI Number: | 1033470497 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMMANUEL DELA CRUZ (OWNER/OPTOMETRIST) |
Mailing Address: | 1535 Landess Ave Ste 117 Milpitas |
State: | CA US |
Postal Code: | 950358208 |
Phone Number: | 4089345938 |
Fax Number: | 4089345939 |
NPI Enumeration Date: | 06/01/2012 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 13964TLG |
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. |