20 20 Optometry, Inc.
Organization Active NPI Optometrist · San Mateo, CA
NPI 1861551632 · NPPES record last updated Jan 27, 2014
Key facts
- NPI
- 1861551632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- 20 20 OPTOMETRY, INC.
- Practice address
- 115 W 25TH Ave
San Mateo, CA 94403-2259 - Phone
- (650) 349-5733
- Fax
- (650) 349-5721
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Benjamin NA, O.D.
- Title
- President
- Phone
- (650) 349-5733
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 20 20 Optometry Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
115 W 25TH Ave
San Mateo, CA 94403-2259
Mailing address
115 W 25TH Ave
San Mateo, CA 94403-2259
Phone (650) 349-5733
Other names
- 20/20 Optometry
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.