National Provider Identifier Database

STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY
23370 ROAD 22
CHOWCHILLA, CA93610
Phone: 559-665-6100
Fax:
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY

NPI Number 1649487729
Legal business name
LBN
STATE OF CALIFORNIA PRISON INDUSTRY AUTHORITY
Authorized official EARL SHAZTER - (BRANCH MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: PIA000103

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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