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Contact Information

VISION ACADEMY SF- AN OPTOMETRIC CORP.
361 3RD ST STE C
SAN RAFAEL, CA94901-3580
 Phone: 415-459-2020
 Fax: 415-459-2021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for VISION ACADEMY SF- AN OPTOMETRIC CORP.

NPI Number 1821666546
LBN Legal business name VISION ACADEMY SF- AN OPTOMETRIC CORP.
Authorized official JEREMY SHUMAKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2021
Last updated 06/17/2021 - About 5 years ago
Identifiers n/a
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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