Provider Demographics
NPI:1093502072
Name:EYES OF THE BAY OPTOMETRY
Entity type:Organization
Organization Name:EYES OF THE BAY OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:POUW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:650-326-8415
Mailing Address - Street 1:170 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1039
Mailing Address - Country:US
Mailing Address - Phone:832-860-5325
Mailing Address - Fax:
Practice Address - Street 1:415 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-1813
Practice Address - Country:US
Practice Address - Phone:650-326-8415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center