Healthcare Provider Details

I. General information

NPI: 1871311316
Provider Name (Legal Business Name): REFINE OPTOMETRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 UNIVERSITY AVE
PALO ALTO CA
94301-1812
US

IV. Provider business mailing address

460 UNIVERSITY AVE
PALO ALTO CA
94301-1812
US

V. Phone/Fax

Practice location:
  • Phone: 650-327-2020
  • Fax: 650-327-2039
Mailing address:
  • Phone: 650-327-2020
  • Fax: 650-327-2039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: JOY LAM
Title or Position: OPTOMETRIST
Credential: OD
Phone: 650-327-2020