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Diablo Valley Optical

Eyewear Supplier (Equipment, not the service) in Walnut Creek, CA. Organization (NPI-2).

NPI number1629299573
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1629299573
Entity type
Organization (NPI-2)
Legal business name
Diablo Valley Optical
Organization subpart
No
Enumeration date
May 1, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)A23985CAYes

Practice location

112 La Casa Via Ste 260
Walnut Creek, CA 94598-3068

Phone 925-934-7800

Mailing address

112 La Casa Via #260
Walnut Creek, CA 94598

Authorized official

J. Frederick Riedel
Owner
9259347800

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