| Organization Name: | WALNUT CREEK OPTICAL |
| NPI Number: | 1134338338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH FARIS BARAKEH (PARTNER) |
| Mailing Address: | 1855 San Miguel Dr #27a Walnut Creek |
| State: | CA US |
| Postal Code: | 94596 |
| Phone Number: | 9259358822 |
| Fax Number: | 9259351702 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 02/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 028175 |
| 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. |