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Contact Information

BIRD ROCK OPTICAL
865 3RD AVE STE 121
CHULA VISTA, CA91911-1300
 Phone: 619-427-2289
 Fax: 619-426-3427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BIRD ROCK OPTICAL

NPI Number 1770774457
LBN Legal business name BIRD ROCK OPTICAL
Authorized official ELENA KRON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2007
Last updated 03/03/2008 - About 18 years ago
Identifiers
CA License # 021264-06
CA Medicaid DX006044F
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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