Provider Demographics
NPI:1548742810
Name:3N OPTICAL INC
Entity Type:Organization
Organization Name:3N OPTICAL INC
Other - Org Name:SITE FOR SORE EYES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICAL OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-219-8771
Mailing Address - Street 1:1310 EL CAMINO REAL
Mailing Address - Street 2:STE H
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-1305
Mailing Address - Country:US
Mailing Address - Phone:650-899-1123
Mailing Address - Fax:650-875-5244
Practice Address - Street 1:1310 EL CAMINO REAL
Practice Address - Street 2:STE H
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-1305
Practice Address - Country:US
Practice Address - Phone:650-899-1123
Practice Address - Fax:650-875-5244
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3N OPTICAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-04
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier