Peninsula Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PENINSULA OPTICAL INC

Practice address

415 University Ave
Palo Alto, CA 94301-1813

Phone

(650) 326-8415

Fax

(650) 326-8417

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Malina KindtNPI 1558146993

Title

Cfo / Managing Member

Phone

(669) 237-8380

Specialties & licenses 3

Addresses

Practitioners 2

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

• Malina Kindt

  • Optician
  • Palo Alto, CA
  • NPI 1558146993
  NPD Authorized official
• Cindy Easheen Pouw, O.D.

  • Optometrist
  • Palo Alto, CA
  • NPI 1699189902
  NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1861187403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SURREY CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355018",
            "telephone_number": "669-237-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 UNIVERSITY AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011813",
            "telephone_number": "650-326-8415",
            "fax_number": "650-326-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "KINDT",
        "authorized_official_first_name": "MALINA",
        "authorized_official_title_or_position": "CFO / MANAGING MEMBER",
        "authorized_official_telephone_number": "669-237-8380"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Head & Neck Surgery,Inc
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• Peninsula Healthcare Connection, Inc.
• Peninsula Mental Health, Inc
• Peninsula Naturopathic Medicine
• Neela Lakshmi Penumarthy, MD
• Sarah Penzel, PT
• Edgar Armando Peralta, PA-C
• Juliana Salcido Perceful, PHARMD
• Jack Martin Percelay, MD

• Optician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.