DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MID-PENINSULA OPTICAL

MEDICARE: MID-PENINSULA OPTICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FC0801XContact Lens FitterCL391CA
2156FX1800XOpticianSL0611CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CA0391OTHERCAEYEMEDVISIONCARE

General Provider Information

NPI Number : 1073649273
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-PENINSULA OPTICAL
Provider Business Mailing Address
First Line : 883 SANTA CRUZ AVE
Second Line :
City : MENLO PARK
State : CA
Zip : 94025-4638
Country : US
Telephone Number : 650-324-4333
Fax Number : 650-324-4311
Provider Business Practice Location Address
First Line : 883 SANTA CRUZ AVE
Second Line :
City : MENLO PARK
State : CA
Zip : 94025-4638
Country : US
Telephone Number : 650-324-4333
Fax Number : 650-324-4311
Authorized Official
Title or Position : OWNER OPTICIAN
Name : DANIEL PAQUETTE
Credential :
Telephone Number : 650-324-4333
Provider Enumeration Date : 02/24/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

1144253766 — KASTNER ACUPUNCTURE GROUP, INC.
Practice Location Address:
4638 PARK BLVD
SAN DIEGO, CA
92116-8600
Practice Phone: 619-220-0878
Practice Fax: 619-220-8147
1295817369 — DOROTHY L. TRUBISH MD
Practice Location Address:
3030 ORCHARD PARK RD
WEST SENECA, NY
14224-4638
Practice Phone: 716-671-2507
Practice Fax: 716-671-2508
1033246558 — MRS. JANE MARIE KASTNER L.AC
Practice Location Address:
4638 PARK BLVD
SAN DIEGO, CA
92116
Practice Phone: 619-220-0878
Practice Fax: 619-220-8147
1861520694 — MARK KASTNER L.AC
Practice Location Address:
4638 PARK BLVD
SAN DIEGO, CA
92116
Practice Phone: 619-220-0878
Practice Fax: 619-220-8147
1376769125 — PERLA DENTAL OF ARLINGTON PA
Practice Location Address:
1827 E PARK ROW DR
ARLINGTON, TX
76010-4638
Practice Phone: 817-275-4322
Practice Fax: 817-275-1469
1679768691 — ANGELA MCLELLAN-DESAI, M.D.,P.C.
Practice Location Address:
3050 ORCHARD PARK RD
WEST SENECA, NY
14224-4638
Practice Phone: 716-675-5222
Practice Fax: 716-675-9329

Directions to “MID-PENINSULA OPTICAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.