MICHAEL'S OPTICAL INC.


Address: 719 Higuera St, San Luis Obispo, CA 93401-3512
Phone: 8055435770

MICHAEL'S OPTICAL INC. (NPI# 1790886968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790886968
Entity Type Organization
Organization Name MICHAEL'S OPTICAL INC.
Practice Address 719 Higuera St
San Luis Obispo
CA 93401-3512
Mailing Address 8300 El Camino Real
B
Atascadero
CA 93422-5358
Practice Telephone 8055435770
Practice Fax Number 8055435795
Mailing Telephone 8054665770
Mailing Fax Number 8054665801
Enumeration Date 2006-09-26
Last Update Date 2020-08-22
Authorized Official Name MR. MICHAEL GENE NUTT (PRESIDENT)
Authorized Official Telephone 8054665770
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies D2634 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL PROVIDER NUMBER DX002634F 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831290014 Michael's Optical Inc. Durable Medical Equipment & Medical Supplies 145 Niblick Rd, Paso Robles, CA 93446-4844 2006-09-26

Office Location

Street Address 719 HIGUERA ST
City SAN LUIS OBISPO
State CA
Zip Code 93401-3512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396930947 Charles Lee Tribbey Optometrist 719 Higuera St, San Luis Obispo, CA 93401-3512 2007-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
Find all providers in zip 93401

Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578181095 Smrt LLC Durable Medical Equipment & Medical Supplies 1317 Broad St Ste B, San Luis Obispo, CA 93401-3909 2020-07-10
1104440015 Sg Homecare, Inc Durable Medical Equipment & Medical Supplies 1140 Kendall Rd Ste B, San Luis Obispo, CA 93401-8047 2020-06-05
1558858035 Hullander and Mozingo Lp Durable Medical Equipment & Medical Supplies 1551 Bishop St Ste 220, San Luis Obispo, CA 93401-4661 2018-04-19
1376998401 Central Coast Home Health, Inc. Durable Medical Equipment & Medical Supplies 243 Granada Dr Ste A, Suite A, San Luis Obispo, CA 93401-7336 2016-04-26
1902200918 Wallace Home Medical Supplies Durable Medical Equipment & Medical Supplies 12310 Los Osos Valley Rd, San Luis Obispo, CA 93405-7220 2014-10-20
1558778068 Pacific Medical, Inc. Durable Medical Equipment & Medical Supplies 4554 Broad St, Ste 110, San Luis Obispo, CA 93401-8712 2014-07-16
1114211612 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 11990 Los Osos Valley Rd, San Luis Obispo, CA 93405-6861 2011-06-02
1376878215 Sequoia Mobility, Inc. Durable Medical Equipment & Medical Supplies 12324 Los Osos Valley Rd, San Luis Obispo, CA 93405-7220 2009-10-09
1841475837 Lifecare Solutions Inc Durable Medical Equipment & Medical Supplies 174 Suburban Rd Ste 100, San Luis Obispo, CA 93401 2008-01-08
1063583078 Healthplus Pharmacy Inc Durable Medical Equipment & Medical Supplies 948 E Foothill Blvd Ste A, San Luis Obispo, CA 93405-2701 2006-11-13
Find all providers in SAN LUIS OBISPO

Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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