MEDICARE: RATINOFF AND MANN OPTOMETRISTS INC

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	12666	CA
2	152W00000X	Optometrist	4888G	CA

General Provider Information

NPI Number	:	1942638119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RATINOFF AND MANN OPTOMETRISTS INC

Provider Business Mailing Address
First Line	:	303 TWIN DOLPHIN DR
Second Line	:	SUITE 122
City	:	REDWOOD CITY
State	:	CA
Zip	:	94065-1497
Country	:	US
Telephone Number	:	650-551-9111
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 TWIN DOLPHIN DR
Second Line	:	SUITE 122
City	:	REDWOOD CITY
State	:	CA
Zip	:	94065-1497
Country	:	US
Telephone Number	:	650-551-9111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DENNIS E RATINOFF
Credential	:
Telephone Number	:	650-551-9111

Provider Enumeration Date	:	10/24/2013
Last Update Date	:	10/25/2013

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