Clarissa Sin OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13768 Issued in CA

Legal business name

CLARISSA SIN OD, INC

Practice address

117 N San Mateo Dr
Suite 2
San Mateo, CA 94401-2708

Phone

(650) 344-2555

NPI assigned

Mar 14, 2016

Organization subpart

Yes

Parent organization

CLARISSA SIN OD, INCAs reported in NPPES

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

Authorized official

Name

Clarissa Sin, ODNPI 1619106903

Title

Ceo/Optometrist

Phone

(510) 896-9982

Specialties & licenses 1

Addresses

Other names 1

• Drs In Optometry Doing business as

Part of

Clarissa Sin OD Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarissa Sin, O.D.

  • Optometrist
  • San Mateo, CA
  • NPI 1619106903
  NPD (past) Authorized official

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1073974366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 SORRENTO WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N SAN MATEO DR",
            "address_2": "SUITE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012708",
            "telephone_number": "650-344-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARISSA SIN OD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARISSA SIN OD, INC",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "SIN",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "510-896-9982",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs In Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Cinquegrano, FNP-C
• Amber Chantelle Cioffi, A.S.W.
• Luis Ciprez, LCSW
• Helen R Citrin
• Frances Claesson
• Kaitlyn A Clark
• Tiffany Ann Austin Clarke
• Keith Allen Clausen, PH.D.
• Trecher Lee Clay
• Clear Optometry

• All providers in San Mateo, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.