Provider Demographics
NPI:1124114822
Name:DR SEE OPTOMETRY
Entity type:Organization
Organization Name:DR SEE OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:415-681-7733
Mailing Address - Street 1:2512 NORIEGA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4127
Mailing Address - Country:US
Mailing Address - Phone:415-681-7733
Mailing Address - Fax:415-681-7766
Practice Address - Street 1:2512 NORIEGA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-4127
Practice Address - Country:US
Practice Address - Phone:415-681-7733
Practice Address - Fax:415-681-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ29594ZMedicare PIN
CAY11273Medicare UPIN