| Family Optical I | |
|
3060b E 9th St Oakland CA 94601-2322 | |
| (510) 535-5500 | |
| (510) 535-4349 |
| Full Name | Family Optical I |
|---|---|
| Speciality | Clinic/Center |
| Location | 3060b E 9th St, Oakland, California |
| Authorized Official Name and Position | Patricia Aguilera (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5105352915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Optical I Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | Family Optical I 3060b E 9th St Oakland CA 94601-2322 Ph: (510) 535-5500 |
| NPI Number | 1124035159 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 12/10/2014 |
| Medicare PECOS PAC ID | 1557258282 |
|---|---|
| Medicare Enrollment ID | O20061110000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124035159 | NPI | - | NPPES |
| FHC71063F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 140000708 (California) | Primary |
| 152W00000X | Optometrist | () | Secondary |
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