Organization · Type 2 NPI

Eyedentity Vision Optometry, Inc.

Clinic/Center · San Francisco, CA

NPI number 1255514642 Active

Practice location

2786 Diamond St
San Francisco, CA 94131-3057

Call (415) 334-2020 Map

Fax (415) 681-9268

Other practice locations

601 Gateway Blvd Ste 220, South San Francisco, CA 94080-7400 · (650) 871-9200

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	12604 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

Carrie Lee, ODOptometrist San Francisco, CA NPI 1760474142

Other clinic/center providers in San Francisco

See all in San Francisco →

NPI record

NPI: 1255514642
Entity type: Organization (Type 2)
Issued: Dec 9, 2007
Last updated: Oct 11, 2021
Status: Active

Other names

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Eyedentity Vision Optometry · doing business as
Eyedentity Vision Optometry · doing business as

Authorized official

Dr. Carrie Lee, OD
President
(415) 334-2020

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255514642

Eyedentity Vision Optometry, Inc.'s National Provider Identifier is 1255514642, issued on Dec 9, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Francisco, CA. The record was last updated on Oct 11, 2021.