Eyemagination Eyeworks

Primary specialty

OptometristTaxonomy code 152W00000X

License

6269 Issued in CA

Legal business name

EYEMAGINATION EYEWORKS

Doing business as

Site For Sore Eyes

Practice address

69 Serramonte Ctr
Daly City, CA 94015-2345

Phone

(650) 992-8404

Fax

(650) 992-6782

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Nancy Robison

Title

Manager

Phone

(650) 992-8404

Specialties & licenses 1

Addresses

Other names 1

• Site For Sore Eyes Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063635936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SERRAMONTE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152345",
            "telephone_number": "650-992-8404",
            "fax_number": "650-992-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SERRAMONTE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152345",
            "telephone_number": "650-992-8404",
            "fax_number": "650-992-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMAGINATION EYEWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "650-992-8404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Site For Sore Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Daly City, CA
• Providers in Daly City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.