Los Altos Optometric Group, INC.
Optometrist in Los Altos, CA. Organization (NPI-2).
NPI number1184610941
StatusActive
Last updated in NPPESSep 8, 2008
Details
- NPI
- 1184610941
- Entity type
- Organization (NPI-2)
- Legal business name
- Los Altos Optometric Group, INC.
- Organization subpart
- No
- Enumeration date
- Sep 26, 2005
- Last updated
- Sep 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 05315T | CA | Yes |
Practice location
133 2nd StLos Altos, CA 94022-2745
Phone 650-948-3700 · Fax 650-941-9980
Mailing address
133 2nd StLos Altos, CA 94022-2745
Phone 650-948-3700 · Fax 650-941-9980
Authorized official
Samuel Pesner
President
6509483700
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