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Contact Information

ICONIC EYES OPTOMETRY
1055 E BROKAW RD
#50
SAN JOSE, CA95131-2318
 Phone: 408-887-4993
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Optician

156FX1800X 96[5] Optician
 

Optometric Assistant Technician

156FX1201X
Indicates primary specialty

NPI Profile & details for ICONIC EYES OPTOMETRY · (Female)

NPI Number 1962839670
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2013
Last updated 09/27/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 14223
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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