State Of California Prison Industry Authority in San Diego - Eyewear Supplier
State Of California Prison Industry Authority - NPI 1356558001
State Of California Prison Industry Authority is a Eyewear Supplier in San Diego, California. State Of California Prison Industry Authority practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for State Of California Prison Industry Authority is 1356558001. The last update date is 2020-08-22.
State Of California Prison Industry Authority's current location address is 480 Alta Rd, San Diego, California. You can contact this provider via phone number 6196616500. The mailing address for State Of California Prison Industry Authority is 480 Alta Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of California Prison Industry Authority |
|---|---|
| Address | 480 Alta Rd, San Diego, California |
| Phone Number | 6196616500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BRANCH MAN |
|---|---|
| Authorized Official Name | Shatzer C. Earl |
| Telephone Number | 9163581721 |
NPI Number Detail
| NPI Number | 1356558001 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 480 Alta Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921790001 |
| Phone Number | 6196616500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PIA000100 | CA | -- |
Post Comment/ Review Below
What is the State Of California Prison Industry Authority's unique identification number?
The State Of California Prison Industry Authority has been assigned the NPI (National Provider Identifier) Number 1356558001 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where State Of California Prison Industry Authority is physically located?
The State Of California Prison Industry Authority is physically situated at the following address: 480 Alta Rd, San Diego, CA, 921790001.
What is State Of California Prison Industry Authority's specialized field of practice, and what is the corresponding taxonomy classification code?
The State Of California Prison Industry Authority's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356558001 to State Of California Prison Industry Authority?
The State Of California Prison Industry Authority received its 1356558001 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date was the information regarding State Of California Prison Industry Authority, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to State Of California Prison Industry Authority, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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