Healthcare Provider Details

I. General information

NPI: 1003012105
Provider Name (Legal Business Name): TOSO OPTICAL CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1526 5TH AVE
SAN RAFAEL CA
94901
US

IV. Provider business mailing address

1526 5TH AVE
SAN RAFAEL CA
94901
US

V. Phone/Fax

Practice location:
  • Phone: 415-457-9410
  • Fax: 415-457-9488
Mailing address:
  • Phone: 415-457-9410
  • Fax: 415-457-9488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License NumberRDO D6926
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberRDO D6926
License Number StateCA

VIII. Authorized Official

Name: MR. JAMES A TOSO JR.
Title or Position: OWNER
Credential: RDO
Phone: 415-457-9410