Organization Name: | KIYAN OPTOMETRIC |
NPI Number: | 1104078062 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL A KIYAN (OWNER) |
Mailing Address: | 1887 Business Center Dr Suite 2a San Bernardino |
State: | CA US |
Postal Code: | 924083463 |
Phone Number: | 9093831053 |
Fax Number: | 9093812144 |
NPI Enumeration Date: | 10/22/2008 |
NPI Last Update Date: | 10/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 5891T |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |