Healthcare Provider Details

I. General information

NPI: 1841403979
Provider Name (Legal Business Name): 3N OPTICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 NEWPARK MALL
NEWARK CA
94560-5248
US

IV. Provider business mailing address

2209 NEWPARK MALL
NEWARK CA
94560-5248
US

V. Phone/Fax

Practice location:
  • Phone: 510-790-1001
  • Fax: 510-790-1704
Mailing address:
  • Phone: 510-790-1001
  • Fax: 510-790-1704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberD6673
License Number StateCA

VIII. Authorized Official

Name: MR. NAJIB SAAB
Title or Position: OWNER
Credential:
Phone: 510-790-1001