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NPI Code Detail

MEDICARE: ZOOM VISION CARE MOUNTAIN VIEW

MEDICARE: ZOOM VISION CARE MOUNTAIN VIEW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist12303TCA

General Provider Information

NPI Number : 1568858561
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZOOM VISION CARE MOUNTAIN VIEW
Provider Business Mailing Address
First Line : 138 N MILPITAS BLVD
Second Line :
City : MILPITAS
State : CA
Zip : 95035-4401
Country : US
Telephone Number : 650-964-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2031 W EL CAMINO REAL
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-2217
Country : US
Telephone Number : 650-964-2020
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DIANA HUANG
Credential :
Telephone Number : 510-396-3825
Provider Enumeration Date : 04/07/2015
Last Update Date : 04/11/2015

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Directions to “ZOOM VISION CARE MOUNTAIN VIEW ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.