Eyes on Grace

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D7111 Issued in CA

Legal business name

EYES ON GRACE

Doing business as

Site for Sore Eyes

Practice address

15100 Hesperian Blvd Ste 120
San Leandro, CA 94578-3638

Phone

(510) 276-6000

Fax

(510) 317-0306

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sherrynhol Kathleen Holsworth

Title

Owner

Phone

(510) 276-6000

Specialties & licenses 1

Addresses

Other names 1

• SITE FOR SORE EYES Doing business as

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1649483538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 HESPERIAN BLVD STE 120",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783638",
            "telephone_number": "510-276-6000",
            "fax_number": "510-317-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 HESPERIAN BLVD STE 120",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783638",
            "telephone_number": "510-276-6000",
            "fax_number": "510-317-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "HOLSWORTH",
        "authorized_official_first_name": "SHERRYNHOL",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-276-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D7111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SITE FOR SORE EYES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Everson
• Katelyn Mary Ewanich
• Shermon Ewell
• Erin Exline, DPT
• Eyes Enterprises, Inc.
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• Deborah Eziaku Ezeude
• Samasoni Tauilo Faalepo
• Brett Fagrey
• Patricia Fagundes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.