Prime Optical

LBN: Prime Optical
Prime Optical is an health care organization with primary practice located at 407 E Gilbert St Suite # 10, San Bernardino CA 92404-5325. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Prime Optical can be contacted via phone (909) 888-8700, or through Salcedo, Mariano via phone (909) 888-8700.

Contact Information

Primary practice address
407 E Gilbert St Suite # 10 San Bernardino CA 92404-5325
Phone: (909) 888-8700
Fax: (909) 888-8710
Website:
Map and Directions
Authorized official contact:
Name: Salcedo, Mariano RDO
Phone: (909) 888-8700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X SL40434 California

Profile Details

NPI number 1609247279
LBN Legal business name Prime Optical
DBA Doing business as
Authorized official Salcedo, Mariano RDO
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2015
Last updated Oct 8th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609247279 NPPES
California Other 8005541312 EIN

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