Organization Name: | FOR EYES OPTICAL OF CA |
NPI Number: | 1073649414 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILIP WOLMAN (OWNER) |
Mailing Address: | 311 Corte Madera Town Ctr Corte Madera |
State: | CA US |
Postal Code: | 949251207 |
Phone Number: | 4159241515 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/10/2013 |
NPI Reactivation Date: | 09/11/2013 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | SL4317 |
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. |