Sunglass City Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

46890 Issued in CA

Legal business name

SUNGLASS CITY INC

Doing business as

Wink Optics

Practice address

623 San Anselmo Ave
San Anselmo, CA 94960-2615

Phone

(415) 456-7297

Fax

(415) 456-3644

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

Jenny Gramajo

Title

Manager

Phone

(415) 456-7297

Specialties & licenses 1

Addresses

Other names 1

• Wink Optics Doing business as

Locations

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1487165429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 SAN ANSELMO AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602615",
            "telephone_number": "415-456-7297",
            "fax_number": "415-456-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 SAN ANSELMO AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602615",
            "telephone_number": "415-456-7297",
            "fax_number": "415-456-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGLASS CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "GRAMAJO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-456-7297"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "46890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wink Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanislaus County
• Jacquelyn Marie Stansell
• Stephanie Morris
• R Scott Sullender, PHD
• Peijie Sun, PHARMD
• Kathryn Suslov, MD
• Jeffrey Thomas Szilagyi, CA L.AC.
• Beth Cooper Tabakin, PH.D.
• Lonnie Tanenberg
• Brook Tarrant

• Optician in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.