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Contact Information

SAN LEANDRO OPTOMETRY GRP
1575 E. 14TH STREET
SAN LEANDRO, CA94577
 Phone: 510-483-4770
 Fax: 510-351-5008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SAN LEANDRO OPTOMETRY GRP

NPI # 1568689107
LBN Legal business name SAN LEANDRO OPTOMETRY GRP
Authorized official ROSALIA SAAVEDRA - (OWNER/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 07/22/2009 - About 17 years ago
Identifiers
CA License # 10781T
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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