Healthcare Provider Details
I. General information
NPI: 1730772260
Provider Name (Legal Business Name): VISION OPTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2021
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1833 FILLMORE ST STE 100
SAN FRANCISCO CA
94115-3181
US
IV. Provider business mailing address
1833 FILLMORE ST STE 100
SAN FRANCISCO CA
94115-3181
US
V. Phone/Fax
- Phone: 415-922-0660
- Fax:
- Phone: 415-922-0660
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANITA
SILVA
Title or Position: OWNER
Credential:
Phone: 650-438-7788