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Contact Information

EYE SPY VISION CARE OPTOMETRY, INC
2291 SOSCOL AVE
SUITE B
NAPA, CA94558-3620
 Phone: 707-253-7111
 Fax: 707-253-7192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE SPY VISION CARE OPTOMETRY, INC

NPI Number 1952477416
LBN Legal business name EYE SPY VISION CARE OPTOMETRY, INC
Authorized official TANYA MAHAPHON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 01/25/2013 - About 13 years ago
Identifiers
CA License # OPT 12138 TPA
CA Other 1003918012 NPI INDIVIDUAL DOCTOR
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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