COREY OPTICAL; NPI #1902941164

Contact Information

COREY OPTICAL

4171 PIEDMONT AVE
OAKLAND, CA 94611-5175

Phone: 510-655-5622
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for COREY OPTICAL

NPI Number 1902941164

LBN Legal business name COREY OPTICAL

Authorized official SUSAN ASSAEL - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/21/2007

Last updated 06/18/2008 - About 18 years ago

Identifiers

License #

D 4027

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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COREY OPTICAL

Contact Information

Specialty

Optician

NPI Profile & details for COREY OPTICAL

Reviews for COREY OPTICAL