Healthcare Provider Details

I. General information

NPI: 1518188291
Provider Name (Legal Business Name): 3N OPTICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FREMONT HUB COURTYARD
FREMONT CA
94538-7701
US

IV. Provider business mailing address

101 FREMONT HUB COURTYARD
FREMONT CA
94538-7701
US

V. Phone/Fax

Practice location:
  • Phone: 510-791-8228
  • Fax: 510-791-0446
Mailing address:
  • Phone: 510-791-8228
  • Fax: 510-791-0446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberD6641
License Number StateCA

VIII. Authorized Official

Name: MR. NAJIB SAAB
Title or Position: OWNER
Credential:
Phone: 510-791-8228