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Contact Information

SAN RAMON OPTOMETRIC GROUP INC
2723 CROW CANYON RD
# 102
SAN RAMON, CA94583
 Phone: 925-831-1084
 Fax: 925-831-8193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SAN RAMON OPTOMETRIC GROUP INC

NPI Number 1295706018
LBN Legal business name SAN RAMON OPTOMETRIC GROUP INC
Authorized official FLETCHER THAMES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2006
Last updated 01/29/2013 - About 13 years ago
Identifiers
CA License # 7590
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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