Eyegen San Mateo
Point of Service in San Mateo, CA. Organization (NPI-2).
NPI number1477750545
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477750545
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyegen San Mateo
- Organization subpart
- No
- Enumeration date
- Jun 30, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Other names
- Site For Sore Eyes (Doing Business As)
Practice location
115 E 3rd AveSan Mateo, CA 94401-4012
Phone 415-347-1500
Mailing address
115 E 3rd AveSan Mateo, CA 94401-4012
Phone 415-347-1500
Authorized official
Mark Bezverkh
Manager
4153471500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Point of Service providers in San Mateo, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.