Mountain Vista Optical in San Jacinto - Eyewear Supplier
Mountain Vista Optical - NPI 1700900602
Mountain Vista Optical is a Eyewear Supplier in San Jacinto, California. Mountain Vista Optical practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Mountain Vista Optical is 1700900602. The last update date is 2020-08-22.
Mountain Vista Optical's current location address is Po Box 1431, San Jacinto, California. You can contact this provider via phone number 9516921323 and fax number 8662580370. The mailing address for Mountain Vista Optical is Po Box 1431, San Jacinto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Vista Optical |
|---|---|
| Address | Po Box 1431, San Jacinto, California |
| Phone Number | 9516921323 |
| Fax Number | 8662580370 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thormahlen Patricia |
| Credentials | OPTICAN |
| Telephone Number | 9516921323 |
NPI Number Detail
| NPI Number | 1700900602 |
|---|---|
| Provider Enumeration Date | 2007-03-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1431 |
|---|---|
| City | San Jacinto |
| State | California (CA) |
| Post Code | 925811431 |
| Phone Number | 9516921323 |
| Fax Number | 8662580370 |
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mountain Vista Optical by the Centers for Medicare & Medicaid Services?
The Mountain Vista Optical has been issued the NPI (National Provider Identifier) 1700900602 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mountain Vista Optical's physical address?
The Mountain Vista Optical is physically located at Po Box 1431, in the city of San Jacinto, CA, with the postal code 925811431.
What is Mountain Vista Optical's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mountain Vista Optical's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Mountain Vista Optical receive the assignment of its 1700900602 from the Centers for Medicare & Medicaid Services?
The Mountain Vista Optical was issued its 1700900602 by the Centers for Medicare & Medicaid Services on 2007-03-17.
When was the information related to Mountain Vista Optical most recently updated or refreshed?
The details pertaining to the Mountain Vista Optical, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.