MEDICARE: A-1 VALUE 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
1	156FX1800X	Optician	D 7219	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356407308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-1 VALUE OPTICAL

Provider Business Mailing Address
First Line	:	2031 W EL CAMINO REAL
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2217
Country	:	US
Telephone Number	:	650-964-2020
Fax Number	:	650-964-2021

Provider Business Practice Location Address
First Line	:	2031 W EL CAMINO REAL
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2217
Country	:	US
Telephone Number	:	650-964-2020
Fax Number	:	650-964-2021

Authorized Official
Title or Position	:	OWNER
Name	:	MR. YIH-WU WANG
Credential	:
Telephone Number	:	650-964-2020

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	06/13/2008

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Directions to “A-1 VALUE OPTICAL ” Practice Location

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