Mid-Peninsula Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SL0611 Issued in CA

Legal business name

MID-PENINSULA OPTICAL

Practice address

883 Santa Cruz Ave
Menlo Park, CA 94025-4638

Phone

(650) 324-4333

Fax

(650) 324-4311

NPI assigned

Feb 24, 2007

Organization subpart

No

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

Authorized official

Name

Daniel Paquette

Title

Owner Optician

Phone

(650) 324-4333

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073649273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 SANTA CRUZ AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254638",
            "telephone_number": "650-324-4333",
            "fax_number": "650-324-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 SANTA CRUZ AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254638",
            "telephone_number": "650-324-4333",
            "fax_number": "650-324-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-PENINSULA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PAQUETTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER OPTICIAN",
        "authorized_official_telephone_number": "650-324-4333"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "CA",
            "license": "CL391",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SL0611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMEDVISIONCARE",
            "identifier": "CA0391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Metz, PSY.D.
• George Gerson Michaels, DDS
• Molly Michaels
• Charlie Michaudet, MD
• Mid-Peninsula Hand Rehabilitation & Ergonomics
• Kathryn Noel Middleton, DO
• Midpeninsula Ophthalmology Medical Group Inc
• Gladys Miguel
• Maria Mikoyan
• Marcela Millan, M.D.

• All providers in Menlo Park, CA
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.