Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MID-PENINSULA OPTICAL
Active OrganizationOptician, Dispensing · MENLO PARK, CA
Registration Details
- NPI Number
- 1073649273
- Provider Type
- Organization
- NPI Issued
- Feb 24, 2007 (19.158210163378 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
CL391 (CA)SL0611 (CA)
Practice Information
- Address
-
883 SANTA CRUZ AVEMENLO PARK, CA, 940254638Browse CA providers · Browse ZIP 94025
- Phone
- 6503244333
- Fax
- 6503244311
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.