Provider Demographics
NPI:1063569788
Name:GREAT GLASSES, INC.
Entity type:Organization
Organization Name:GREAT GLASSES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-346-3883
Mailing Address - Street 1:999 GREEN STREET
Mailing Address - Street 2:2301
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-3662
Mailing Address - Country:US
Mailing Address - Phone:415-346-3883
Mailing Address - Fax:
Practice Address - Street 1:5450 THORNWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1222
Practice Address - Country:US
Practice Address - Phone:408-281-8220
Practice Address - Fax:408-281-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD 3696156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty