MEDICARE: SUNSET FOCUS OPTOMETRY

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	152W00000X	Optometrist	12404TLG	CA

General Provider Information

NPI Number	:	1881109973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSET FOCUS OPTOMETRY

Provider Business Mailing Address
First Line	:	355 TERESITA BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94127-1847
Country	:	US
Telephone Number	:	415-244-4990
Fax Number	:

Provider Business Practice Location Address
First Line	:	1719 NORIEGA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-4307
Country	:	US
Telephone Number	:	628-256-2177
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHARON LEE
Credential	:	OD
Telephone Number	:	415-244-4990

Provider Enumeration Date	:	12/11/2017
Last Update Date	:	12/11/2017

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