Your Two Eyes Optometry Inc.
Organization Active NPI Optometrist · Berkeley, CA
NPI 1184287641 · NPPES record last updated Apr 19, 2019
Key facts
- NPI
- 1184287641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- YOUR TWO EYES OPTOMETRY INC.
- Practice address
- 2110 Vine St Ste B
Berkeley, CA 94709-1577 - Phone
- (510) 540-5555
- Fax
- (510) 548-3999
- NPI assigned
- Apr 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Nadia Samii, OD
- Title
- Owner
- Phone
- (510) 926-2102
Practitioners 1
-
Nadia Samii, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190618002490 | CA | Part B Supplier - Clinic/Group Practice | 1658605043 |
Receives reassigned benefits from 1 practitioner Practice locations: Berkeley, CA |
National Provider Directory
Locations
2110 Vine St
Ste B
Berkeley, CA 94709
Phone (510) 540-5555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2110 Vine St Ste B
Berkeley, CA 94709-1577
Mailing address
2110 Vine St Ste B
Berkeley, CA 94709-1577
Phone (510) 540-5555
Other practice location 1
2110 Vine St Ste B
Berkeley, CA 94709-1577
Phone (510) 540-5555
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.