Healthcare Provider Details

I. General information

NPI: 1740426899
Provider Name (Legal Business Name): POINT RICHMOND OPTOMETRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2008
Last Update Date: 04/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 WASHINGTON AVE
POINT RICHMOND CA
94801-3947
US

IV. Provider business mailing address

110 WASHINGTON AVENUE
POINT RICHMOND CA
94801
US

V. Phone/Fax

Practice location:
  • Phone: 510-235-5228
  • Fax: 510-235-1847
Mailing address:
  • Phone: 510-235-5228
  • Fax: 510-235-1847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number9430TPG
License Number StateCA

VIII. Authorized Official

Name: DR. PAULA CAROLYN ASMUS
Title or Position: OWNER/OPTOMETRIST
Credential: O.D
Phone: 510-235-5228