Organization Name: | LIVE OPTICS, FAMILY BOUTIQUE |
NPI Number: | 1285874685 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDITH C LIVELO (CEO/ OPTICIAN) |
Mailing Address: | 39159 Paseo Padre Pkwy Ste 117 Fremont |
State: | CA US |
Postal Code: | 945381600 |
Phone Number: | 5104948880 |
Fax Number: | 5104948882 |
NPI Enumeration Date: | 02/24/2009 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | D 6765 |
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. |