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Contact Information

EYE CONNECTION INCORPORATED
208 VINTAGE WAY STE K11
NOVATO, CA94945-5058
 Phone: 415-897-3377
 Fax: 415-897-5722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for EYE CONNECTION INCORPORATED

NPI # 1558417428
LBN Legal business name EYE CONNECTION INCORPORATED
Authorized official CHRIS KIM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
CA License # CL648
CA License # SL1717
CA Other DX006683F MEDICAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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