Organization Active NPI

2020 Optical

  • Eyewear Supplier
  • San Rafael, CA
National Provider Identifier
1477756617
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
2020 OPTICAL
Practice address
1127 4TH St
San Rafael, CA 94901-3006
Phone
(415) 453-2020
Fax
(415) 459-7262
NPI assigned
Jun 6, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. David Schwartz, FNAO
Title
Owner
Phone
(415) 453-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1127 4TH St
San Rafael, CA 94901-3006

Mailing address

1127 4TH St
San Rafael, CA 94901-3006
Phone (415) 453-2020

National Provider Directory

National Provider Directory

Locations

1127 4th St
San Rafael, CA 94901
Phone (415) 453-2020

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1477756617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013006",
            "telephone_number": "415-453-2020",
            "fax_number": "415-459-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013006",
            "telephone_number": "415-453-2020",
            "fax_number": "415-459-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2020 OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-453-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNAO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.