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Contact Information

LARKSPUR LANDING OPTOMETRY
2005 LARKSPUR LANDING CIR
LARKSPUR, CA94939-1802
 Phone: 415-925-9091
 Fax: 415-925-9092
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for LARKSPUR LANDING OPTOMETRY

NPI Number 1306837117
LBN Legal business name LARKSPUR LANDING OPTOMETRY
Authorized official EDWARD HAACK - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 10121T
CA Medicaid SD0101210
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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