Healthcare Provider Details

I. General information

NPI: 1669425567
Provider Name (Legal Business Name): KARIN MENG MS OD AND NICOLE JANOVITCH OD PTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 04/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 E ARQUES AVE SUITE 210
SUNNYVALE CA
94085-5401
US

IV. Provider business mailing address

1210 E ARQUES AVE SUITE 210
SUNNYVALE CA
94085-5401
US

V. Phone/Fax

Practice location:
  • Phone: 408-245-2020
  • Fax: 408-245-2520
Mailing address:
  • Phone: 408-245-2020
  • Fax: 408-245-2520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number8546T
License Number StateCA

VIII. Authorized Official

Name: DR. NICOLE MONICA JANOVITCH
Title or Position: OWNER/OPTOMETRIST
Credential: O.D.
Phone: 408-245-2020